Nicole Padovan-Lagrasta Dmd, PA

NPI #1992982441 in Bound Brook, New Jersey

Provider Information

NPI Number: 1992982441
Entity Type: Organization
Organization Name: Nicole Padovan-Lagrasta Dmd, PA
Primary Specialty: Dentist
Enumeration Date: Jan 28, 2008
Last Updated: Jan 28, 2008

Practice Location

Address: 105 E UNION AVE
City: Bound Brook
State: New Jersey
ZIP Code: 08805-1766
Phone: (732) 469-4424

Authorized Official

Name: DR. NICOLE PADOVAN-LAGRASTA, DMD
Title: PRESIDENT
Phone: (732) 469-4424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Dental Assistant	126800000X
Dentist	122300000X	Primary

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