# EAST HANOVER FAMILY DENTAL

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

## Provider details

- **NPI number:** 1518357565
- **Authorized official:** DR. MINDY OK DMD (OWNER)
- **Authorized official phone:** (973) 495-7619

## Contact information

- **Practice address:** 49 RIDGEDALE AVE, EAST HANOVER, NJ 07936-1014
- **Practice address phone:** (973) 884-1144
- **Mailing address:** 52 DEFOREST AVE FL 3, SUMMIT, NJ 07901-1930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI02025200 | NJ | Yes |

## Other

- **Enumeration date:** 01/29/2015
- **Last updated:** 01/29/2015