Organization
FIRST MOUNTAIN DENTAL GROUP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KONSTANTINE TRICHAS DDS (PRESIDENT)
(973) 746-7771
Entity
Organization
Contact information
Practice address
31 S FULLERTON AVE, SUITE A, MONTCLAIR, NJ 07042-3455
(973) 746-7771
(973) 746-2177
Mailing address
31 S FULLERTON AVE, SUITE A, MONTCLAIR, NJ 07042-3455
(973) 746-7771
(973) 746-2177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01960400
NJ
Other
Enumeration date
03/25/2007
Last updated
08/31/2015
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