Organization
ADVANCED DENTAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVIJIT GOEL (OWNER)
(914) 420-2053
Entity
Organization
Contact information
Practice address
369 SPRINGFIELD AVE STE C, BERKELEY HEIGHTS, NJ 07922-1170
(908) 679-8551
Mailing address
3310 BREIDABLIK DR, WILMINGTON, DE 19807-1925
(914) 420-2053
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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