# ADVANCED DENTAL CARE P.C

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

## Provider details

- **NPI number:** 1447534755
- **Authorized official:** INESSA ALIEVA (MANAGER)
- **Authorized official phone:** (973) 645-0200

## Contact information

- **Practice address:** 1212 RAYMOND BLVD, NEWARK, NJ 07102
- **Practice address phone:** (973) 645-0200
- **Mailing address:** 1212 RAYMOND BLVD, NEWARK, NJ 07102
- **Mailing address phone:** (973) 645-0200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 220102207500 | NJ | Yes |

## Other

- **Enumeration date:** 10/05/2011
- **Last updated:** 10/05/2011