Organization
GEORGE XENAKIS, DDS, PALISADES PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE XENAKIS DDS (GENERAL MANAGER)
(212) 643-0927
Entity
Organization
Contact information
Practice address
261A BROAD AVE, PALISADES PARK, NJ 07650
(201) 676-3003
(201) 676-2613
Mailing address
261A BROAD AVENUE, PALISADES PARK, NJ 07650
(201) 676-3003
(201) 676-2613
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI01715600
NJ
Other
Enumeration date
03/26/2015
Last updated
07/28/2015
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