Organization
DEDICATED MODERN DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGNIESZKA BARA DMD (PRESIDENT)
(732) 537-9922
Entity
Organization
Contact information
Practice address
476 UNION AVE, MIDDLESEX, NJ 08846-1968
(732) 537-9922
(732) 537-9920
Mailing address
476 UNION AVE, MIDDLESEX, NJ 08846-1968
(732) 537-9922
(732) 537-9920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02157200
NJ
1223G0001X
General Practice Dentistry
22DI02535700
NJ
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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