Organization
AMERICAN DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTHMANE SEDDIKI (OWNER)
(908) 353-5400
Entity
Organization
Contact information
Practice address
14 WINFIELD SCOTT PLZ, ELIZABETH, NJ 07201-2443
(908) 353-5400
(908) 353-7273
Mailing address
14 WINFIELD SCOTT PLZ, ELIZABETH, NJ 07201-2443
(908) 353-5400
(908) 353-7273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02386200
NJ
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
About Stedi
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