Organization
CREATIVE DENTAL CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH RICHARD BANKER DMD (PRESIDENT)
(908) 232-0400
Entity
Organization
Contact information
Practice address
423 SOUTH AVE W, WESTFIELD, NJ 07090-1403
(908) 232-0400
Mailing address
423 SOUTH AVE W, WESTFIELD, NJ 07090-1403
(908) 232-0400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DI19715-01
NJ
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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