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Organization
INDEPENDENCE DENTAL ASSOCIATES, LLC
Active
Organization
INDEPENDENCE DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J CLEAVE DMD (OWNER)
(908) 852-2215
Entity
Organization
Contact information
Practice address
915 ROUTE 517, HACKETTSTOWN, NJ 07840-4661
(908) 852-2215
(908) 852-0831
Mailing address
915 ROUTE 517, HACKETTSTOWN, NJ 07840-4661
(908) 852-2215
(908) 852-0831
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI01371800
NJ
Other
Enumeration date
07/29/2011
Last updated
08/18/2011
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