First Mountain Dental Group P.c.
NPI #1477670206 in Montclair, New Jersey
Provider Information
- NPI Number
- 1477670206
- Entity Type
- Organization
- Organization Name
- First Mountain Dental Group P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 25, 2007
- Last Updated
- Aug 31, 2015
Practice Location
- Address
- 31 S FULLERTON AVE
- Address 2
- SUITE A
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-3455
- Phone
- (973) 746-7771
Authorized Official
- Name
- DR. KONSTANTINE TRICHAS, DDS
- Title
- PRESIDENT
- Phone
- (973) 746-7771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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