Organization
ADVANCED DENTAL CARE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INESSA ALIEVA (MANAGER)
(973) 645-0200
Entity
Organization
Contact information
Practice address
1212 RAYMOND BLVD, NEWARK, NJ 07102
(973) 645-0200
Mailing address
1212 RAYMOND BLVD, NEWARK, NJ 07102
(973) 645-0200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
220102207500
NJ
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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