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Organization
CHILDREN'S DENTAL CARE
Active
Organization
CHILDREN'S DENTAL CARE
Active
Other names
Children's Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POONAM GAT D.D.S. (DENTIST)
(646) 915-4003
Entity
Organization
Contact information
Practice address
3700 KENNEDY BLVD, UNION CITY, NJ 07087-2993
(646) 915-4003
Mailing address
3700 KENNEDY BLVD, UNION CITY, NJ 07087-2993
(201) 866-3737
(201) 866-6266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10508200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439568
—
NJ
Enumeration date
02/23/2017
Last updated
11/24/2020
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