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Organization
THEODORE N CONSTANDELIS
Active
Organization
THEODORE N CONSTANDELIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE N CONSTANDELIS D.D.S. (OWNER)
(973) 684-1078
Entity
Organization
Contact information
Practice address
465 VALLEY RD, CLIFTON, NJ 07013-2234
(973) 684-1078
(973) 278-3128
Mailing address
465 VALLEY RD, CLIFTON, NJ 07013-2234
(973) 684-1078
(973) 278-3128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11019
NJ
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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