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Organization
ADVANCED DENTAL OF JERSEY CITY LLC
Active
Organization
ADVANCED DENTAL OF JERSEY CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER DEMETRIUS TSAMBAZIS DMD (OWNER)
(973) 586-4444
Entity
Organization
Contact information
Practice address
223 MALLORY AVE, JERSEY CITY, NJ 07304-1256
(201) 232-3358
Mailing address
223 MALLORY AVE, JERSEY CITY, NJ 07304-1256
(201) 232-3358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
18218
NJ
1223P0300X
Periodontics
Primary
18218
NJ
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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