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Organization

ALL QUALITY DENTAL LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRIGORIY YUSUPOV DDS (DDS GENERAL DENTIST)
(908) 527-8688
Entity
Organization

Contact information

Practice address
65 JEFFERSON AVE, ELIZABETH, NJ 07201-2474
(908) 527-8688
(908) 527-9399
Mailing address
65 JEFFERSON AVE, ELIZABETH, NJ 07201-2474
(908) 527-8688
(908) 527-9399

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D102207500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9069909
NJ
05
9070109
NJ
Enumeration date
04/16/2007
Last updated
08/22/2020
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