# NU DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NU Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245871029
- **Authorized official:** DR. ADMASU N GIZAHEW DDS (OWNER/DIRECTOR)
- **Authorized official phone:** (718) 568-0405

## Contact information

- **Practice address:** 76 POND ST, STATEN ISLAND, NY 10309-1797
- **Practice address phone:** (718) 568-0405
- **Mailing address:** 16 RIVERSIDE LN, HOLMDEL, NJ 07733-2084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2019
- **Last updated:** 10/03/2019