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Organization

OM DENTAL CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HITESH J SHAH DDS (PRESIDENT)
(201) 222-0002
Entity
Organization

Contact information

Practice address
480 CENTRAL AVENUE, JERSEY CITY, NJ 07307
(201) 222-0002
(201) 222-8211
Mailing address
480 CENTRAL AVENUE, JERSEY CITY, NJ 07307
(201) 222-0002
(201) 222-8211

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI18862
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
G150101
NJ
Enumeration date
10/23/2006
Last updated
08/22/2020
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