# MONTALBANO NIKOONEZHAD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Florence Dental Studio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942926761
- **Authorized official:** DR. DARA NIKOONEZHAD DMD (OWNER/DENTIST)
- **Authorized official phone:** (732) 615-8087

## Contact information

- **Practice address:** 313 BROAD ST, FLORENCE, NJ 08518-1911
- **Practice address phone:** (609) 499-3800
- **Mailing address:** 313 BROAD ST, FLORENCE, NJ 08518-1911

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2022
- **Last updated:** 10/13/2022