Prospect Dental Care
NPI #1750945473 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1750945473
- Entity Type
- Organization
- Organization Name
- Prospect Dental Care
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 29, 2019
- Last Updated
- Apr 29, 2019
Practice Location
- Address
- 145 PROSPECT ST STE 202
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-4493
- Phone
- (201) 444-9011
Authorized Official
- Name
- DR. JOHN MAKHOUL, DDS
- Title
- OWNER
- Phone
- (201) 444-9011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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