Organization
NEW JERSEY DENTAL ASSOCIATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALED ELDIN DDS (OWNER)
(201) 585-8585
Entity
Organization
Contact information
Practice address
1355 15TH ST, FORT LEE, NJ 07024-2039
(201) 585-8585
Mailing address
1355 15TH ST, FORT LEE, NJ 07024-2039
(201) 585-8585
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02128400
NJ
Other
Enumeration date
11/30/2017
Last updated
06/16/2018
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