Organization
FANWOOD DENTAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMA M. PATEL DMD (PRESIDENT)
(732) 266-2911
Entity
Organization
Contact information
Practice address
225 N MARTINE AVE, FANWOOD, NJ 07023-1336
(732) 266-2911
Mailing address
85 DELLWOOD RD, EDISON, NJ 08820-3865
(732) 266-2911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02245600
NJ
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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