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Organization
IRONBOUND DENTAL SPECIALISTS
Active
Organization
IRONBOUND DENTAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN QUISPE (OFFICE MANAGER)
(973) 817-5511
Entity
Organization
Contact information
Practice address
290 FERRY ST, NEWARK, NJ 07105-3475
(973) 817-5511
(973) 465-1955
Mailing address
290 FERRY ST, NEWARK, NJ 07105-3475
(973) 817-5511
(973) 465-1955
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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