Independence Dental Associates, LLC
NPI #1699053355 in Hackettstown, New Jersey
Provider Information
- NPI Number
- 1699053355
- Entity Type
- Organization
- Organization Name
- Independence Dental Associates, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 29, 2011
- Last Updated
- Aug 18, 2011
Practice Location
- Address
- 915 ROUTE 517
- City
- Hackettstown
- State
- New Jersey
- ZIP Code
- 07840-4661
- Phone
- (908) 852-2215
Authorized Official
- Name
- DR. RICHARD J CLEAVE, DMD
- Title
- OWNER
- Phone
- (908) 852-2215
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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