Organization
NEW PROVIDENCE DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH HERKO (CEO)
(908) 376-9297
Entity
Organization
Contact information
Practice address
571 CENTRAL AVE STE 100, NEW PROVIDENCE, NJ 07974-1547
(908) 376-9297
Mailing address
571 CENTRAL AVE STE 100, NEW PROVIDENCE, NJ 07974-1547
(908) 376-9297
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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