Organization
POMPTON LAKES FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAQUEL RODRIGUEZ DMD (OWNER)
(845) 220-6815
Entity
Organization
Contact information
Practice address
518 HAMBURG TPKE, POMPTON LAKES, NJ 07442-1430
(845) 220-6815
Mailing address
903 PARK AVE APT 2, HOBOKEN, NJ 07030-4204
(845) 220-6815
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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