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Organization

CHILDREN'S DENTISTRY OF PASSAIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PADMA JOSHI (DENTIST OWNER)
(973) 859-0538
Entity
Organization

Contact information

Practice address
124 GREGORY AVE, SUITE 303, PASSAIC, NJ 07055-4856
(973) 859-0538
(862) 249-2949
Mailing address
124 GREGORY AVE, SUITE 303, PASSAIC, NJ 07055-4856
(973) 859-0538
(862) 249-4929

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DI020195
NJ

Other

Enumeration date
08/26/2010
Last updated
08/26/2010
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