# WALLINGTON FAMILY DENTISTRY CENTER PA

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

## Provider details

- **NPI number:** 1306399696
- **Authorized official:** JOSEPH ROZEHZADEH DMD (PARTNER)
- **Authorized official phone:** (973) 239-6330

## Contact information

- **Practice address:** 172 MAPLE AVE, WALLINGTON, NJ 07057-1212
- **Practice address phone:** (973) 778-0918
- **Mailing address:** 172 MAPLE AVE, WALLINGTON, NJ 07057-1212
- **Mailing address phone:** (973) 778-0918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 02226600 | NJ | Yes |

## Other

- **Enumeration date:** 08/03/2016
- **Last updated:** 08/03/2016