Organization
PATERSON DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAIZUL T KHAN DDS (PRESIDENT)
(973) 684-5854
Entity
Organization
Contact information
Practice address
294 BROADWAY, PATERSON, NJ 07501-2030
(973) 684-5854
(973) 684-1952
Mailing address
294 BROADWAY, PATERSON, NJ 07501-2030
(973) 684-5854
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI19009
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7093900-01
—
NJ
Enumeration date
05/09/2013
Last updated
05/09/2013
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