Organization
PASCACK VALLEY DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP A. SPAGNESI D.D.S. (SECT.)
(201) 265-8600
Entity
Organization
Contact information
Practice address
449 OLD HOOK RD, EMERSON, NJ 07630-1323
(201) 265-8600
Mailing address
449 OLD HOOK RD, EMERSON, NJ 07630-1323
(201) 265-8600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01319100
NJ
Other
Enumeration date
10/24/2006
Last updated
04/24/2008
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