Organization
ELIZABETH AVENUE DENTAL CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHMET S DICKENGIL DDS (PRESIDENT OF CORPORATION)
(908) 354-0030
Entity
Organization
Contact information
Practice address
627 ELIZABETH AVENUE, ELIZABETH, NJ 07206
(908) 354-0030
(908) 354-4029
Mailing address
627 ELIZABETH AVENUE, ELIZABETH, NJ 07206
(908) 354-0030
(908) 354-4029
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI15381
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1436805
—
NJ
Enumeration date
09/11/2006
Last updated
08/22/2020
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