Organization
JERSEY GARDEN DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PROLAY POLAY (OWNER)
(908) 351-6996
Entity
Organization
Contact information
Practice address
651 KAPKOWSKI RD, ELIZABETH, NJ 07201-4901
(908) 351-6996
(908) 351-2996
Mailing address
651 KAPKOWSKI RD, ELIZABETH, NJ 07201-4901
(908) 351-6996
(908) 351-2996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02139701
NJ
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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