Organization
NJ DENTAL PARTNERS ONE LLC
Active
Parent organization
FAIRLAWN DENTAL ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAIRLAWN DENTAL ASSOCIATES
Authorized official
KEITH DUNOFF (OWNER)
(732) 750-0707
Entity
Organization
Contact information
Practice address
25-15 FAIR LAWN AVE, FAIR LAWN, NJ 07410-3434
(201) 797-8464
Mailing address
1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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