Organization
ADVANCED ENDODONTICS ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYIA ROZENBLUM D.D.S (OWNER)
(201) 343-8600
Entity
Organization
Contact information
Practice address
170 PROSPECT AVE STE 7, HACKENSACK, NJ 07601-1834
(201) 343-8600
(201) 343-8650
Mailing address
170 PROSPECT AVE STE 7, HACKENSACK, NJ 07601-1834
(201) 343-8600
(201) 343-8650
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22DI02237100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173151
—
NJ
Enumeration date
04/05/2011
Last updated
04/05/2011
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