Organization
CHILDREN'S DENTAL CARE
Active
Other names
Children's Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POONAM GAT D.D.S. (DENTIST)
(646) 915-4003
Entity
Organization
Contact information
Practice address
3700 KENNEDY BLVD, UNION CITY, NJ 07087-2993
(646) 915-4003
Mailing address
3700 KENNEDY BLVD, UNION CITY, NJ 07087-2993
(201) 866-3737
(201) 866-6266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10508200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439568
—
NJ
Enumeration date
02/23/2017
Last updated
11/24/2020
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