Organization
FIRST CHOICE DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT FEDERMAN DDS (CHAIRMAN)
(201) 592-7920
Entity
Organization
Contact information
Practice address
2185 LEMOINE AVE, STE 1K, FORT LEE, NJ 07024-6036
(201) 592-7920
(201) 592-0971
Mailing address
2185 LEMOINE AVE, STE 1K, FORT LEE, NJ 07024-6036
(201) 592-7920
(201) 592-0971
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01144100
NJ
1223G0001X
General Practice Dentistry
22DI02512900
NJ
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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