Organization
AMBOY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARESH PATEL D.M.D. (DENTIST/ OWNER)
(732) 226-0568
Entity
Organization
Contact information
Practice address
295 MAIN ST, METUCHEN, NJ 08840-2428
(732) 226-0568
(732) 476-5244
Mailing address
1085 AMBOY AVE, EDISON, NJ 08837-2848
(732) 754-2829
(732) 476-5244
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22D102138700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22D102138700
DENTAL LIC
NJ
Enumeration date
03/15/2018
Last updated
03/15/2018
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