# RIVER EDGE FAMILY DENTAL

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

## Provider details

- **NPI number:** 1346662012
- **Authorized official:** DR. MARLEN MARTIROSSIAN D.D.S. (PRESIDENT/OWNER)
- **Authorized official phone:** (201) 343-4044

## Contact information

- **Practice address:** 130 KINDERKAMACK RD, SUITE 303, RIVER EDGE, NJ 07661-1939
- **Practice address phone:** (201) 343-4044
- **Mailing address:** 130 KINDERKAMACK RD, SUITE 303, RIVER EDGE, NJ 07661-1939
- **Mailing address phone:** (201) 343-4044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI02140900 | NJ | Yes |

## Other

- **Enumeration date:** 01/14/2014
- **Last updated:** 01/14/2014