Organization
21ST AVE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK E RYAN DMD (OWNER)
(973) 742-1991
Entity
Organization
Contact information
Practice address
318 21ST AVE, PATERSON, NJ 07501-3538
(973) 742-1991
Mailing address
318 21ST AVE, PATERSON, NJ 07501-3538
(973) 742-1991
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14409
NJ
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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