# STRONG ROOTS DENTAL PC

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

## Provider details

- **NPI number:** 1598037996
- **Authorized official:** MRS. JAHAYRA JUAREZ (OFFICE MANAGER)
- **Authorized official phone:** (551) 200-6002

## Contact information

- **Practice address:** 273 NEWARK AVENUE, JERSEY CITH, NJ 07302
- **Practice address phone:** (551) 200-6002
- **Practice address fax:** (201) 984-0607
- **Mailing address:** 273 NEWARK AVENUE, JERSEY CITH, NJ 07302
- **Mailing address phone:** (551) 200-6002
- **Mailing address fax:** (201) 984-0607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02410701 | NJ | Yes |
| 1223G0001X | General Practice Dentistry | 22DIO2449200 | NJ | — |

## Other

- **Enumeration date:** 01/31/2012
- **Last updated:** 02/28/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0257761 | — | NJ |