# JOAN VAN RAALTE D.M.D.,PC

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

## Provider details

- **NPI number:** 1538362215
- **Authorized official:** DR. JOAN VAN RAALTE D.M.D. (OWNER)
- **Authorized official phone:** (973) 746-5532

## Contact information

- **Practice address:** 200 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1943
- **Practice address phone:** (973) 746-5532
- **Practice address fax:** (413) 677-0904
- **Mailing address:** 41 WATCHUNG PLZ, \#185, MONTCLAIR, NJ 07042-4117
- **Mailing address phone:** (973) 746-5532
- **Mailing address fax:** (413) 677-0904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI01926304 | NJ | Yes |

## Other

- **Enumeration date:** 06/08/2007
- **Last updated:** 08/22/2020