Organization
THE TOOTH DR LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEDHAT DAWOUD (OWNER)
(201) 401-6594
Entity
Organization
Contact information
Practice address
47 KENSINGTON AVE, JERSEY CITY, NJ 07304-2009
(201) 434-1200
(201) 434-1223
Mailing address
47 KENSINGTON AVE, JERSEY CITY, NJ 07304-2009
(201) 434-1200
(201) 434-1223
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
04/11/2012
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