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Organization

FAMILY CARE DENTAL PROFESSIONAL ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HENRY ELLIS III (OFFICE MANAGER)
(201) 845-7330
Entity
Organization

Contact information

Practice address
340 WEST PASSAIC STREET, ROCHELLE PARK, NJ 07662-3018
(201) 845-7330
(201) 845-7339
Mailing address
340 WEST PASSAIC STREET, ROCHELLE PARK, NJ 07662-3018
(201) 845-7330
(201) 845-7339

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02134100
NJ

Other

Enumeration date
07/22/2008
Last updated
07/22/2008
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