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Organization
VALLEY DENTAL ASSOCIATES, PA
Active
Organization
VALLEY DENTAL ASSOCIATES, PA
Active
Other names
Portale Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH JOHN PORTALE DMD (PRES/OWNER)
(201) 945-5777
Entity
Organization
Contact information
Practice address
555 BERGEN BLVD, RIDGEFIELD, NJ 07657-2020
(201) 945-5777
(201) 945-5667
Mailing address
555 BERGEN BLVD, RIDGEFIELD, NJ 07657-2020
(201) 945-5777
(201) 945-5667
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI00945900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI00945900
LICENSE NUMBER
NJ
Enumeration date
03/12/2014
Last updated
03/12/2014
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