Organization
ADVANCED DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL B. POU DDS (PARTNER)
(973) 485-8989
Entity
Organization
Contact information
Practice address
735 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3111
(973) 485-8989
(973) 485-8909
Mailing address
735 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3111
(973) 485-8989
(973) 485-8909
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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