Organization
ADVANCED DENTAL MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. USHA DESAI (DIRECTOR & CEO)
(862) 242-4526
Entity
Organization
Contact information
Practice address
23 REYNOLDS AVE, PARSIPPANY, NJ 07054-3323
(862) 242-4526
Mailing address
23 REYNOLDS AVE, PARSIPPANY, NJ 07054-3323
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8552940001
MEDICARE PTAN #
NJ
Enumeration date
12/06/2016
Last updated
12/06/2016
Update your record
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