New York Avenue Dental

NPI #1588998405 in Union City, New Jersey

Provider Information

NPI Number: 1588998405
Entity Type: Organization
Organization Name: New York Avenue Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 24, 2009
Last Updated: Sep 24, 2009

Practice Location

Address: 3703 NEW YORK AVE
City: Union City
State: New Jersey
ZIP Code: 07087-4807
Phone: (201) 305-8800

Authorized Official

Name: DR. FADI I BEYDOUN, D.M.D
Title: PRESIDENT
Phone: (201) 305-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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