Organization
HAWTHORNE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RITESH A SHAH DDS (PARTNER)
(973) 427-9299
Entity
Organization
Contact information
Practice address
354 LINCOLN AVE, HAWTHORNE, NJ 07506-1200
(973) 427-9299
(973) 427-9295
Mailing address
354 LINCOLN AVE, HAWTHORNE, NJ 07506-1200
(973) 427-9299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
02136800
NJ
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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