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Organization

CHILDREN'S DENTAL HEALTH ASSOCIATES OF ROSELLE P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL ALLEN D.D.S. (OFFICER)
(908) 245-5556
Entity
Organization

Contact information

Practice address
2209 WOOD AVE, ROSELLE, NJ 07203-2930
(908) 245-5556
Mailing address
2209 WOOD AVE, ROSELLE, NJ 07203-2930
(908) 245-5556

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02315100
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Enumeration date
08/10/2015
Last updated
08/10/2015
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