Organization
NU DENTAL PC
Active
Other names
NU Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADMASU N GIZAHEW DDS (OWNER/DIRECTOR)
(718) 568-0405
Entity
Organization
Contact information
Practice address
76 POND ST, STATEN ISLAND, NY 10309-1797
(718) 568-0405
Mailing address
16 RIVERSIDE LN, HOLMDEL, NJ 07733-2084
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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