Organization
FOUNDATION ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAY LEWIS D.M.D. (PRESIDENT)
(201) 836-8000
Entity
Organization
Contact information
Practice address
870 PALISADE AVE, SUITE #303, TEANECK, NJ 07666-3419
(201) 836-8000
(201) 591-7981
Mailing address
870 PALISADE AVE, SUITE #303, TEANECK, NJ 07666-3419
(201) 836-8000
(201) 591-7981
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
02309100
NJ
Other
Enumeration date
11/01/2009
Last updated
11/01/2009
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