# BEACON FAMILY DENTAL, P.A.

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

## Provider details

- **NPI number:** 1952791394
- **Authorized official:** DR. RAMESH KIANFAR TAHERI D.M.D (PRESIDENT /OWNER)
- **Authorized official phone:** (201) 724-0600

## Contact information

- **Practice address:** 8 BALDWIN AVE, JERSEY CITY, NJ 07304-3154
- **Practice address phone:** (201) 327-6139
- **Mailing address:** 8 BALDWIN AVE, JERSEY CITY, NJ 07304-3154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02163100 | NJ | Yes |

## Other

- **Enumeration date:** 01/23/2015
- **Last updated:** 01/23/2015