Organization
SOUTH PATERSON DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC SIMON D.D.S (DENTIST)
(973) 881-7800
Entity
Organization
Contact information
Practice address
32 HINE ST, SUITE 106, PATERSON, NJ 07503-2955
(073) 881-7800
Mailing address
32 HINE ST, SUITE 106, PATERSON, NJ 07503-2955
(073) 881-7800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DIO1100900
NJ
1223G0001X
General Practice Dentistry
22DIO1125900
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22DIO2197800
NJ
Other
Enumeration date
05/04/2008
Last updated
05/04/2008
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