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Organization
RICHARD TOM D.M.D. LLC
Active
Organization
RICHARD TOM D.M.D. LLC
Active
Other names
RT Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD TOM DMD (OWNER)
(201) 681-0039
Entity
Organization
Contact information
Practice address
192 CHESTNUT ST, NUTLEY, NJ 07110-2329
(973) 667-2500
Mailing address
4-15 26TH ST, FAIR LAWN, NJ 07410-3816
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02171700
NJ
Other
Enumeration date
11/10/2015
Last updated
02/19/2016
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