Organization
ADVANCED PROSTHODONTICS AND IMPLANT CENTER, LLC
Active
Other names
Wayne Hills Dental, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASMAHAN A KHATER D.D.S (OWNER)
(201) 220-8224
Entity
Organization
Contact information
Practice address
401 HAMBURG TPKE, SUITE 101, WAYNE, NJ 07470-2154
(201) 220-8224
Mailing address
401 HAMBURG TPKE, SUITE 101, WAYNE, NJ 07470-2154
(201) 220-8224
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
22DI02425400
NJ
Other
Enumeration date
10/27/2012
Last updated
07/26/2013
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