Organization
WOODLAND PARK DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIMMA CHERNYAKHOVSKAYA SILVA DDS (MANAGING MEMBER)
(201) 446-0232
Entity
Organization
Contact information
Practice address
279 BROWERTOWN RD STE 104, WOODLAND PARK, NJ 07424-2663
(973) 256-3366
Mailing address
12 WESTON CT, WAYNE, NJ 07470-6548
(201) 446-0232
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02504800
NJ
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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