Pediatric Dentistry and Orthodontics Center LLC
NPI #1255995502 in Midland Park, New Jersey
Provider Information
- NPI Number
- 1255995502
- Entity Type
- Organization
- Organization Name
- Pediatric Dentistry and Orthodontics Center LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 23, 2019
- Last Updated
- Apr 23, 2019
Practice Location
- Address
- 6 PROSPECT ST STE 1A
- City
- Midland Park
- State
- New Jersey
- ZIP Code
- 07432-1606
- Phone
- (201) 445-5555
Authorized Official
- Name
- MIKE COLE
- Title
- VP INSURANCE PLAN MANAGEMENT
- Phone
- (941) 955-3150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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