Organization
ADVANCED DENTAL CENTER P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJUBHAI M PATEL D.D.S (PRESIDENT)
(908) 354-4900
Entity
Organization
Contact information
Practice address
500 WESTFIELD AVE, ELIZABETH, NJ 07208-1642
(908) 354-4900
Mailing address
500 WESTFIELD AVE, ELIZABETH, NJ 07208-1642
(908) 354-4900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI 19752
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI 19752
DENTAL LICENCE FOR DENTIS
NJ
Enumeration date
05/10/2007
Last updated
08/22/2020
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