Organization
ADVANCED DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIMA M PATEL DMD (PRESIDENT)
(732) 661-0011
Entity
Organization
Contact information
Practice address
629 AMBOY AVE STE 3, EDISON, NJ 08837-3579
(732) 661-0011
(732) 661-1335
Mailing address
629 AMBOY AVE STE 3, EDISON, NJ 08837-3579
(732) 661-0011
(732) 661-1335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02245600
NJ
Other
Enumeration date
01/05/2007
Last updated
08/22/2020
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