Organization
ANNA GAZU DDS PA
Active
Other names
Marvel Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANDEEP JOSAN (MANAGER)
(732) 318-7122
Entity
Organization
Contact information
Practice address
1113 MAIN AVE, CLIFTON, NJ 07011
(973) 577-5700
(862) 227-4079
Mailing address
411 E MOUNT PLEASANT AVENUE, LIVINGSTON, NJ 07039
(732) 318-7122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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