Organization
EJS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MAGLIETTA (CONTROLLER)
(973) 992-3990
Entity
Organization
Contact information
Practice address
470 RIDGEDALE AVE, EAST HANOVER, NJ 07936-3074
(973) 992-3990
Mailing address
580 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-5411
(973) 992-3990
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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