Organization
ADVANCED DENTISTRY OF SUMMIT, LLC
Active
Other names
Advanced Dentistry, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORINA ATANASE DMD (DENTIST/OWNER)
(973) 635-0626
Entity
Organization
Contact information
Practice address
33 MAIN ST, STE. 101, CHATHAM, NJ 07928-2433
(973) 635-0626
Mailing address
33 MAIN ST, STE. 101, CHATHAM, NJ 07928-2433
(973) 635-0626
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
22DI02372900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346393717
DR. ATANASE NPI
NJ
Enumeration date
02/04/2011
Last updated
09/14/2011
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