# JPW DENTAL LLC

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

## Provider details

- **NPI number:** 1407216674
- **Authorized official:** MEI WANG (OFFICE MANAGER)
- **Authorized official phone:** (201) 585-0847

## Contact information

- **Practice address:** 1625 ANDERSON AVE, STE 302, FORT LEE, NJ 07024-2748
- **Practice address phone:** (201) 585-0847
- **Mailing address:** 1625 ANDERSON AVE STE 302, FORT LEE, NJ 07024-2748
- **Mailing address phone:** (201) 585-0847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02586600 | NJ | Yes |

## Other

- **Enumeration date:** 03/02/2016
- **Last updated:** 03/02/2016