Organization
AMERICAN FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVIJIT GOEL DMD (MANAGING MEMBER)
(914) 420-2053
Entity
Organization
Contact information
Practice address
325 21ST ST NW UNIT B, WAVERLY, IA 50677-2019
(914) 420-2053
Mailing address
325 21ST ST NW UNIT B, WAVERLY, IA 50677-2019
(914) 420-2053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
12/13/2016
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