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Organization
WEST BROADWAY DENTAL PA
Active
Organization
WEST BROADWAY DENTAL PA
Active
Other names
Downtown Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN SHERMAN DDS (OWNER PRESIDENT)
(973) 684-3803
Entity
Organization
Contact information
Practice address
1 WEST BROADWAY, PATERSON, NJ 07505
(973) 684-3803
(973) 742-8223
Mailing address
1 WEST BROADWAY, PATERSON, NJ 07505
(973) 684-3803
(973) 742-8223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8378100
—
NJ
Enumeration date
03/13/2007
Last updated
02/25/2012
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