Organization
FLDA, LLC
Active
Other names
Fair Lawn Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ARASH BASERI DMD (OWNER)
(201) 674-6675
Entity
Organization
Contact information
Practice address
25-15 FAIR LAWN AVE, FAIR LAWN, NJ 07410-3434
(201) 797-8464
Mailing address
43 CORNELL AVE, BERKELEY HEIGHTS, NJ 07922-1903
(201) 674-6675
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
07/02/2021
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