Organization
IACR DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISELA ANA CANTUARIAS DDS (PRESIDENT)
(201) 865-5150
Entity
Organization
Contact information
Practice address
439 60TH ST, WEST NEW YORK, NJ 07093-2211
(201) 865-5150
(201) 865-5962
Mailing address
439 60TH ST, WEST NEW YORK, NJ 07093-2211
(201) 865-5150
(201) 865-5962
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02496500
NJ
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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