# GROUP DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124436886
- **Authorized official:** DR. SHAHIN GHOBADI D.M.D (DOCTOR)
- **Authorized official phone:** (201) 794-1117

## Contact information

- **Practice address:** 479 N MIDLAND AVE STE B, SADDLE BROOK, NJ 07663-5597
- **Practice address phone:** (201) 794-1117
- **Practice address fax:** (201) 794-0364
- **Mailing address:** 479 N MIDLAND AVE STE B, SADDLE BROOK, NJ 07663-5597
- **Mailing address phone:** (201) 794-1117
- **Mailing address fax:** (201) 794-0364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2014
- **Last updated:** 07/25/2014
