Organization
NORTH JERSEY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J AGRESTI DDS (OWNER)
(908) 352-5205
Entity
Organization
Contact information
Practice address
15 PRINCE ST, ELIZABETH, NJ 07208-3260
(908) 352-5205
Mailing address
15 PRINCE ST, ELIZABETH, NJ 07208-3260
(908) 352-5205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6657
NJ
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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