Organization
RICHARD TOM D.M.D. LLC
Active
Other names
RT Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD TOM DMD (OWNER)
(201) 681-0039
Entity
Organization
Contact information
Practice address
192 CHESTNUT ST, NUTLEY, NJ 07110-2329
(973) 667-2500
Mailing address
4-15 26TH ST, FAIR LAWN, NJ 07410-3816
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02171700
NJ
Other
Enumeration date
11/10/2015
Last updated
02/19/2016
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