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Organization
GEORGE XENAKIS, DDS, PALISADES PARK, LLC
Active
Organization
GEORGE XENAKIS, DDS, PALISADES PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE XENAKIS DDS (GENERAL MANAGER)
(212) 643-0927
Entity
Organization
Contact information
Practice address
261A BROAD AVE, PALISADES PARK, NJ 07650
(201) 676-3003
(201) 676-2613
Mailing address
261A BROAD AVENUE, PALISADES PARK, NJ 07650
(201) 676-3003
(201) 676-2613
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI01715600
NJ
Other
Enumeration date
03/26/2015
Last updated
07/28/2015
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