Organization
NEW LEAF PEDIATRIC DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERISH IM DDS (OWNER)
(201) 592-0758
Entity
Organization
Contact information
Practice address
2029 LEMOINE AVE STE 203, FORT LEE, NJ 07024-5731
(201) 592-0758
Mailing address
513 ROFF AVE UNIT B, PALISADES PARK, NJ 07650-1807
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/16/2018
Last updated
10/17/2018
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