Organization
WEST BROADWAY DENTAL PA
Active
Other names
Downtown Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN SHERMAN DDS (OWNER PRESIDENT)
(973) 684-3803
Entity
Organization
Contact information
Practice address
1 WEST BROADWAY, PATERSON, NJ 07505
(973) 684-3803
(973) 742-8223
Mailing address
1 WEST BROADWAY, PATERSON, NJ 07505
(973) 684-3803
(973) 742-8223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8378100
—
NJ
Enumeration date
03/13/2007
Last updated
02/25/2012
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