# MASTER DENTISTRY CENTER INC

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

## Provider details

- **NPI number:** 1871075796
- **Authorized official:** RAIF R WADI (OWNER)
- **Authorized official phone:** (210) 861-9440

## Contact information

- **Practice address:** 8412 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4265
- **Practice address phone:** (201) 758-7834
- **Practice address fax:** (201) 758-7837
- **Mailing address:** 8412 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4265
- **Mailing address phone:** (201) 758-7834
- **Mailing address fax:** (201) 758-7837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/06/2018
- **Last updated:** 09/14/2022