Organization
DENTAL PLAZA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCE F DALESSIO DMD (PRESIDENT OF DENTAL PLAZA PA)
(973) 471-4500
Entity
Organization
Contact information
Practice address
503 PAULISON AVE, PASSAIC, NJ 07055
(973) 471-4500
(973) 471-4500
Mailing address
503 PAULISON AVE, PASSAIC, NJ 07055
(973) 471-4500
(973) 471-8575
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
018013
NJ
122300000X
Dentist
Primary
16958
NJ
122300000X
Dentist
17435
NJ
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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