# PASSAIC FAMILY DENTAL L.L.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1912176553
- **Authorized official:** DR. ESTELA D GUERRERO D.D.S. (OWNER)
- **Authorized official phone:** (973) 815-0053

## Contact information

- **Practice address:** 218 AUTUMN ST, 2 ND. FLOOR, PASSAIC, NJ 07055-4306
- **Practice address phone:** (973) 955-0512
- **Practice address fax:** (973) 815-0024
- **Mailing address:** 26 QUAKER AVE, PH, CORNWALL, NY 12518-2109
- **Mailing address phone:** (973) 815-0053
- **Mailing address fax:** (973) 815-0024

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2008
- **Last updated:** 02/28/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0124001 | — | NJ |