Organization
COLLADO DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILDA PENA TEJADA MD (DOCTOR/AUTHORIZED OFFICIAL)
(201) 865-8900
Entity
Organization
Contact information
Practice address
1315 PALISADE AVE, UNION CITY, NJ 07087-7426
(201) 865-8900
Mailing address
1315 PALISADE AVE, UNION CITY, NJ 07087-7426
(201) 865-8900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/16/2023
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