Organization
WEST NEW YORK DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIKA YERMOLENKO (OFFICE MANAGER)
(201) 605-6003
Entity
Organization
Contact information
Practice address
5700 BERGENLINE AVE STE 2, WEST NEW YORK, NJ 07093-1254
(201) 605-6003
Mailing address
5700 BERGENLINE AVE STE 2, WEST NEW YORK, NJ 07093-1254
(201) 605-6003
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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