Organization
PROSPECT DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MAKHOUL DDS (OWNER)
(201) 444-9011
Entity
Organization
Contact information
Practice address
145 PROSPECT ST STE 202, RIDGEWOOD, NJ 07450-4493
(201) 444-9011
(201) 857-4676
Mailing address
145 PROSPECT ST STE 202, RIDGEWOOD, NJ 07450-4493
(201) 444-9011
(201) 857-4676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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