Organization
THE STENVALL, GHATTAS, ELESSAWI GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN STENVALL DMD (PRES)
(973) 372-2330
Entity
Organization
Contact information
Practice address
961 SANFORD AVE, IRVINGTON, NJ 07111-1421
(973) 372-2330
Mailing address
961 SANFORD AVE, IRVINGTON, NJ 07111-1421
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10861
NJ
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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