Mill Road Dental Center PC

NPI #1184789125 in Irvington, New Jersey

Provider Information

NPI Number: 1184789125
Entity Type: Organization
Organization Name: Mill Road Dental Center PC
Primary Specialty: Dentist
Enumeration Date: Dec 27, 2006
Last Updated: May 7, 2013

Practice Location

Address: 5 MILL ROAD
City: Irvington
State: New Jersey
ZIP Code: 07111
Phone: (973) 372-7049

Authorized Official

Name: YEUGENY AUDEYCHIK, DDS
Title: DENTIST
Phone: (973) 372-7049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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