Organization
ALL AMERICAN DENTAL, P.C
Active
Parent organization
ALL AMERICAN DENTAL, P.C
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALL AMERICAN DENTAL, P.C
Authorized official
ALEKSEY NOVAKHOV (OWNER)
(908) 353-5400
Entity
Organization
Contact information
Practice address
1210 RAYMOND BLVD, NEWARK, NJ 07102-2903
(973) 645-0200
Mailing address
1210 RAYMOND BLVD, NEWARK, NJ 07102-2903
(973) 645-0200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02059900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020079
—
NJ
05
—
0030686
—
NJ
05
—
0119261
—
NJ
05
—
0146455
—
NJ
Enumeration date
03/17/2008
Last updated
03/17/2008
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