Organization
JOAN VAN RAALTE D.M.D.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN VAN RAALTE D.M.D. (OWNER)
(973) 746-5532
Entity
Organization
Contact information
Practice address
200 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1943
(973) 746-5532
(413) 677-0904
Mailing address
41 WATCHUNG PLZ, #185, MONTCLAIR, NJ 07042-4117
(973) 746-5532
(413) 677-0904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01926304
NJ
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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