Park Avenue Dental of Nj
NPI #1932119211 in Lyndhurst, New Jersey
Provider Information
- NPI Number
- 1932119211
- Entity Type
- Organization
- Organization Name
- Park Avenue Dental of Nj
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 155 PARK AVE
- Address 2
- SUITE 207
- City
- Lyndhurst
- State
- New Jersey
- ZIP Code
- 07071-1462
- Phone
- (201) 507-5000
Authorized Official
- Name
- DR. KIRK A KALOGIANNIS, D.M.D.
- Title
- PRESIDENT/DENTIST
- Phone
- (201) 507-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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