# ALTERNATIVE DENTAL PC

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

## Provider details

- **NPI number:** 1700240975
- **Authorized official:** SUSAN KRUTYANSKY (PRESIDENT)
- **Authorized official phone:** (732) 902-2828

## Contact information

- **Practice address:** 450 MAIN ST, METUCHEN, NJ 08840-1800
- **Practice address phone:** (732) 902-2828
- **Practice address fax:** (732) 902-2800
- **Mailing address:** 450 MAIN ST, METUCHEN, NJ 08840-1800
- **Mailing address phone:** (732) 902-2828
- **Mailing address fax:** (732) 902-2800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DI20201 | NJ | Yes |

## Other

- **Enumeration date:** 04/13/2016
- **Last updated:** 04/13/2016