# KEANSBURG FAMILY DENTAL, LLC

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

## Provider details

- **NPI number:** 1861835183
- **Authorized official:** DR. NINA KARAMZADEH D.D.S. (OPERATING MANAGER)
- **Authorized official phone:** (732) 945-8283

## Contact information

- **Practice address:** 365 CARR AVE, KEANSBURG, NJ 07734-1419
- **Practice address phone:** (743) 945-8283
- **Mailing address:** 365 CARR AVE, KEANSBURG, NJ 07734-1419
- **Mailing address phone:** (743) 945-8283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22D102285901 | NJ | Yes |

## Other

- **Enumeration date:** 04/17/2013
- **Last updated:** 04/17/2013