Organization
JUSTIN DINOWITZ DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN DINOWITZ DMD (OWNER DENTIST)
(862) 505-1002
Entity
Organization
Contact information
Practice address
556 EAGLE ROCK AVE STE 109, ROSELAND, NJ 07068-1500
(862) 505-1002
Mailing address
556 EAGLE ROCK AVE STE 109, ROSELAND, NJ 07068-1500
(862) 505-1002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DL02830300
DENTAL LICENSE
NJ
Enumeration date
11/22/2024
Last updated
11/22/2024
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