# HAVEN DENTAL GROUP, PC

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

## Provider details

- **NPI number:** 1396456273
- **Authorized official:** CHARLES WEI DDS (OWNER)
- **Authorized official phone:** (201) 509-1032

## Contact information

- **Practice address:** 351 MARIN BLVD, JERSEY CITY, NJ 07302
- **Practice address phone:** (201) 509-1032
- **Mailing address:** P.O. BOX \#1118, FORT LEE, NJ 07024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2022
- **Last updated:** 12/12/2022
