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Organization
ADVANCED DENTAL LLC
Active
Organization
ADVANCED DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER D TSAMBAZIS DMD (PERIODONTIST/OWNER)
(973) 586-4444
Entity
Organization
Contact information
Practice address
490 E MAIN ST, DENVILLE, NJ 07834-2484
(973) 586-4444
(973) 586-4455
Mailing address
490 E MAIN ST, SUITE 103, DENVILLE, NJ 07834-2484
(973) 586-4444
(973) 586-4455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
18218
NJ
1223P0300X
Periodontics
Primary
18218
NJ
Other
Enumeration date
11/03/2008
Last updated
03/21/2016
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