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Organization
ALL CITY DENTAL SERVICES
Active
Organization
ALL CITY DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIBA SHARIFAN (DENTIST)
(973) 481-3900
Entity
Organization
Contact information
Practice address
644 MT. PROSPECT AVE, NEWARK, NJ 07104
(973) 481-3900
(973) 481-2999
Mailing address
644 MT. PROSPECT AVE, NEWARK, NJ 07104
(973) 481-3900
(973) 481-2999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20295
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011070
DORAL DENTAL
NJ
01
—
1101738
NJ HEALTH
NJ
05
—
3128903
—
NJ
05
—
7943601
—
NJ
01
—
D0000031300
AMERICHOICE
NJ
Enumeration date
04/16/2007
Last updated
08/22/2020
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