Jersey Garden Dental PA
NPI #1790907913 in Elizabeth, New Jersey
Provider Information
- NPI Number
- 1790907913
- Entity Type
- Organization
- Organization Name
- Jersey Garden Dental PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 651 KAPKOWSKI RD
- City
- Elizabeth
- State
- New Jersey
- ZIP Code
- 07201-4901
- Phone
- (908) 351-6996
Authorized Official
- Name
- DR. PROLAY POLAY
- Title
- OWNER
- Phone
- (908) 351-6996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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