# EDISON DENTAL P.A

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

## Provider details

- **NPI number:** 1437684701
- **Authorized official:** AMISH PATEL DMD (OWNER)
- **Authorized official phone:** (732) 662-9313

## Contact information

- **Practice address:** 1907 OAK TREE RD, SUITE\#204, EDISON, NJ 08820-2070
- **Practice address phone:** (732) 662-9313
- **Mailing address:** 1907 OAK TREE RD, SUITE\#204, EDISON, NJ 08820-2070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02347800 | NJ | Yes |

## Other

- **Enumeration date:** 04/25/2017
- **Last updated:** 04/25/2017