Park Dental Arts, LLC

NPI #1578000196 in Ridgefield, New Jersey

Provider Information

NPI Number: 1578000196
Entity Type: Organization
Organization Name: Park Dental Arts, LLC
Primary Specialty: Dentist
Enumeration Date: Jan 20, 2017
Last Updated: Jan 20, 2017

Practice Location

Address: 560 BERGEN BLVD
City: Ridgefield
State: New Jersey
ZIP Code: 07657
Phone: (201) 945-4477

Authorized Official

Name: DR. JENI GLAVICIC
Title: CO-OWNER
Phone: (201) 945-4477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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