Organization
PRIME CARE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEYUR MODI DMD (OWNER DENTIST)
(201) 755-1525
Entity
Organization
Contact information
Practice address
1 WASHINGTON BLVD STE 8, ROBBINSVILLE, NJ 08691-3162
(609) 490-1616
Mailing address
1 WASHINGTON BLVD STE 8, ROBBINSVILLE, NJ 08691-3162
(609) 490-1616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI02686700
DENTIST
NJ
Enumeration date
03/07/2023
Last updated
03/07/2023
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