Organization
PEQUANNOCK DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHREYANS SHAH DMD (OWNER)
(973) 696-4252
Entity
Organization
Contact information
Practice address
157 NEWARK POMPTON TPKE, PEQUANNOCK, NJ 07440-1300
(973) 696-4252
(973) 872-9018
Mailing address
157 NEWARK POMPTON TPKE, PEQUANNOCK, NJ 07440-1300
(973) 696-4252
(973) 872-9018
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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