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Organization
PAINLESSDDS PC
Active
Organization
PAINLESSDDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA IGDALEV DDS (OWNER)
(201) 224-9444
Entity
Organization
Contact information
Practice address
1625 ANDERSON AVE, SUITE 202, FORT LEE, NJ 07024-2748
(201) 224-9444
Mailing address
1625 ANDERSON AVE, SUITE 202, FORT LEE, NJ 07024-2748
(201) 224-9444
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02013400
NJ
261QD0000X
Dental Clinic/Center
22DI02604300
NJ
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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