# TENAFLY DENTAL SPA PC

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

## Provider details

- **NPI number:** 1700335239
- **Authorized official:** DR. JULIA IGDALEV DDS (OWNER)
- **Authorized official phone:** (201) 668-0662

## Contact information

- **Practice address:** 2 DEAN DR, 3RD FLOOR, TENAFLY, NJ 07670-2765
- **Practice address phone:** (201) 668-0662
- **Mailing address:** 464 NEVADA ST, PARAMUS, NJ 07652-5622
- **Mailing address phone:** (201) 668-0662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02013400 | NJ | Yes |

## Other

- **Enumeration date:** 09/26/2016
- **Last updated:** 09/26/2016