Organization
JAN GLADSTONE & ROBERT DORSKY,DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY PENARANDA (OFFICE MANAGER)
(201) 867-0900
Entity
Organization
Contact information
Practice address
2400 BERGENLINE AVE, UNION CITY, NJ 07087-3677
(201) 867-0900
(201) 867-2352
Mailing address
2400 BERGENLINE AVE, UNION CITY, NJ 07087-3677
(201) 867-0900
(201) 867-2352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13628
NJ
1223G0001X
General Practice Dentistry
Primary
14344
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3208508
—
NJ
Enumeration date
03/03/2008
Last updated
03/03/2008
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