# SLOBODIAN DENTAL PC

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

## Provider details

- **NPI number:** 1912688789
- **Authorized official:** DR. ANDRII SLOBODIAN DDS (DENTIST)
- **Authorized official phone:** (917) 753-6453

## Contact information

- **Practice address:** 49 RIDGEDALE AVE STE 201, EAST HANOVER, NJ 07936-1014
- **Practice address phone:** (973) 822-1200
- **Practice address fax:** (973) 822-8454
- **Mailing address:** 49 RIDGEDALE AVE STE 201, EAST HANOVER, NJ 07936-1014
- **Mailing address phone:** (973) 822-1200
- **Mailing address fax:** (973) 822-8454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2023
- **Last updated:** 07/26/2023