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Organization
JONATHAN A NITCHE DMD LLC
Active
Organization
JONATHAN A NITCHE DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN ALBERT NITCHE DMD (OWNER)
(973) 228-5545
Entity
Organization
Contact information
Practice address
556 EAGLE ROCK AVE, SUITE 103, ROSELAND, NJ 07068-1503
(973) 228-5545
(973) 228-3863
Mailing address
556 EAGLE ROCK AVE, SUITE 103, ROSELAND, NJ 07068-1503
(973) 228-5545
(973) 228-3863
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21571
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114941333
INDIVIDUAL NPI
—
01
—
1700974664
INDIVIDUAL NPI
—
Enumeration date
04/22/2008
Last updated
04/22/2008
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