Organization
LASTING IMPRESSIONS DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY SAVAGE DMD (GENERAL DENTIST)
(201) 836-4335
Entity
Organization
Contact information
Practice address
185 CEDAR LN, SUITE U-1, TEANECK, NJ 07666-4316
(201) 836-4335
(201) 836-5920
Mailing address
185 CEDAR LN, SUITE U-1, TEANECK, NJ 07666-4316
(201) 836-4335
(201) 836-5920
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22D101805200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073661427
GENERAL DENTIST
NJ
Enumeration date
05/06/2011
Last updated
05/26/2011
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