# RIVER ROAD DENTAL PC

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

## Provider details

- **NPI number:** 1215147897
- **Authorized official:** VALERIE DOUNSKI (DENTIST)
- **Authorized official phone:** (201) 840-0045

## Contact information

- **Practice address:** 103 RIVER RD, SUITE 105, EDGEWATER, NJ 07020-1016
- **Practice address phone:** (201) 840-0045
- **Practice address fax:** (201) 840-1095
- **Mailing address:** 103 RIVER RD, SUITE 105, EDGEWATER, NJ 07020-1016
- **Mailing address phone:** (201) 840-0045
- **Mailing address fax:** (201) 840-1095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02193600 | NJ | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/22/2020
