Organization
HUDSON RIVER BRACES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASSANDRA GANDIA D.D.S. (ORTHODONTIST)
(201) 774-3344
Entity
Organization
Contact information
Practice address
810 ABBOTT BLVD, SUITE 301, FORT LEE, NJ 07024-4151
(201) 224-3600
Mailing address
810 ABBOTT BLVD, SUITE 301, FORT LEE, NJ 07024-4151
(201) 224-3600
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02575602
NJ
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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