# FORDS FAMILY DENTAL CARE LLC

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

## Provider details

- **NPI number:** 1992929889
- **Authorized official:** STELLA EFTHYMIOU-BACKOS DDS (DOCTOR/OWNER)
- **Authorized official phone:** (732) 738-9087

## Contact information

- **Practice address:** 532 NEW BRUNSWICK AVE, FORDS, NJ 08863
- **Practice address phone:** (732) 738-9087
- **Practice address fax:** (732) 738-7317
- **Mailing address:** 532 NEW BRUNSWICK AVENUE, FORDS, NJ 08863
- **Mailing address phone:** (732) 738-9087
- **Mailing address fax:** (732) 738-7317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI15467 | NJ | — |
| 122300000X | Dentist | DI16918 | NJ | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 09/01/2009