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Organization

LAFAYETTE FAMILY DENTAL CARE,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAUSHIK PATEL (OWNER)
(551) 358-7421
Entity
Organization

Contact information

Practice address
540 LAFAYETTE AVE, HAWTHORNE, NJ 07506-2448
(551) 358-7421
Mailing address
540 LAFAYETTE AVE, HAWTHORNE, NJ 07506
(551) 358-7421

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
02/24/2014
Last updated
02/24/2014
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