Individual
DR. RADIA ELIDRISSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4-6 DEPOT SQ, ENGLEWOOD, NJ 07631-2809
(201) 816-1881
(201) 816-1751
Mailing address
4-6 DEPOT SQ, ENGLEWOOD, NJ 07631-2809
(201) 816-1881
(201) 816-1751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045700
NY
Other
Enumeration date
08/30/2006
Last updated
02/24/2020
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