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Organization
VISITING DENTAL PC
Active
Organization
VISITING DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN SCHOENBERG (OFFICE MANAGER)
(201) 670-0097
Entity
Organization
Contact information
Practice address
39 WELLESLEY RD, GLEN ROCK, NJ 07452-1222
(201) 670-0097
(201) 445-0225
Mailing address
39 WELLESLEY RD, GLEN ROCK, NJ 07452-1222
(201) 670-0097
(201) 445-0225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6882803
—
NJ
Enumeration date
10/12/2007
Last updated
10/15/2007
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