Organization
ADVANCE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRZAD MAZANDARANI DMD (OWNER)
(201) 818-4500
Entity
Organization
Contact information
Practice address
330 RIDGE RD, MAHWAH, NJ 07430-3613
(201) 818-4500
Mailing address
330 RIDGE RD, MAHWAH, NJ 07430-3613
(201) 818-4500
(201) 818-4507
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI21908
NJ
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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