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Organization

LAFAYETTE FAMILY DENTISTRY MGMT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID CHERKEZ (GENERAL MANAGER)
(201) 488-8866
Entity
Organization

Contact information

Practice address
540 LAFAYETTE AVENUE, HAWTHORNE, NJ 07506
(973) 304-0700
(973) 304-2013
Mailing address
520 SUMMIT AVENUE, HACKENSACK, NJ 07601
(201) 488-9030
(201) 488-9130

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009890
NJ
Enumeration date
04/09/2007
Last updated
08/22/2020
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