Organization
ADVANCED DENTAL ANESTHESIA SERVICES
Active
Organization
ADVANCED DENTAL ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIE MENDIA (OFFICE MANAGER)
(201) 660-7464
Entity
Organization
Contact information
Practice address
111 ROUTE 303, SUITE 220, TAPPAN, NY 10983-2133
(845) 848-2255
Mailing address
48 BI STATE PLZ # 268, OLD TAPPAN, NJ 07675-7003
(201) 660-7464
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
D102532800
NJ
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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