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Organization
VIS-A-DENT, L.L.C.
Active
Organization
VIS-A-DENT, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH NACHMAN-MANGOT D.D.S. (MANAGER)
(201) 785-4146
Entity
Organization
Contact information
Practice address
1033 CLIFTON AVENUE, SUITE # 108, CLIFTON, NJ 07013
(201) 785-4146
(201) 836-6054
Mailing address
1033 CLIFTON AVENUE, SUITE 108, CLIFTON, NJ 07013
(201) 785-4146
(201) 836-6054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01871000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6432409
—
NJ
Enumeration date
04/23/2009
Last updated
04/23/2009
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