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Organization
BASKING RIDGE PEDIATRIC DENTISTRY, LLC
Active
Organization
BASKING RIDGE PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA DIEM NGUYEN DDS (PRESIDENT)
(908) 647-0747
Entity
Organization
Contact information
Practice address
25 MOUNTAINVIEW BLVD, STE 201, BASKING RIDGE, NJ 07920-3453
(908) 647-0747
Mailing address
25 MOUNTAINVIEW BLVD, STE 201, BASKING RIDGE, NJ 07920-3453
(908) 647-0747
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NJ
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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