Organization
ENGLEWOOD DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MINICHETTI DMD (PRESIDENT)
(201) 871-3555
Entity
Organization
Contact information
Practice address
370 GRAND AVE, SUITE 200, ENGLEWOOD, NJ 07631-4154
(201) 871-3555
(201) 871-9096
Mailing address
370 GRAND AVE, SUITE 200, ENGLEWOOD, NJ 07631-4154
(201) 871-3555
(201) 871-9096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01893500
NJ
Other
Enumeration date
12/11/2006
Last updated
09/13/2012
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