Dental Sanctuary of Fanwood LLC
NPI #1316710205 in Fanwood, New Jersey
Provider Information
- NPI Number
- 1316710205
- Entity Type
- Organization
- Organization Name
- Dental Sanctuary of Fanwood LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 1, 2023
- Last Updated
- Nov 1, 2023
Practice Location
- Address
- 250 SOUTH AVE STE 103
- City
- Fanwood
- State
- New Jersey
- ZIP Code
- 07023-1219
- Phone
- (215) 350-9520
Authorized Official
- Name
- PRIYABEN R PATEL, DMD
- Title
- GENERAL DENTIST
- Phone
- (215) 350-9520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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