Organization
MODERN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER MARIN DMD (MANAGER)
(917) 561-7256
Entity
Organization
Contact information
Practice address
551 JERSEY AVE, GROUND FLOOR, JERSEY CITY, NJ 07302-2788
(917) 561-7256
Mailing address
551 JERSEY AVE, GROUND FLOOR, JERSEY CITY, NJ 07302-2788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02454300
NJ
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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