Organization
P&S DENTAL
Active
Other names
Jersey City Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW S PAEK DDS (MANAGER)
(917) 583-6646
Entity
Organization
Contact information
Practice address
178 NEWARK AVE, JERSEY CITY, NJ 07302-5864
(201) 332-0403
(201) 332-7364
Mailing address
178 NEWARK AVE, JERSEY CITY, NJ 07302-5864
(201) 332-0403
(201) 332-7364
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2377100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942456793
NPI
NJ
Enumeration date
04/15/2014
Last updated
04/15/2014
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