Individual
REBECCA BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
583 WINTHROP RD, TEANECK, NJ 07666-2970
(201) 833-0007
Mailing address
330 EDGEWOOD AVE, TEANECK, NJ 07666-3021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02555800
NJ
Other
Enumeration date
05/17/2014
Last updated
05/17/2014
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