Organization
ROEBLING DENTAL STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARA NIKOONEZHAD DMD (OWNER)
(609) 499-3800
Entity
Organization
Contact information
Practice address
501 DELAWARE AVE STE 3, ROEBLING, NJ 08554-1904
(609) 499-5800
Mailing address
501 DELAWARE AVE STE 3, ROEBLING, NJ 08554-1904
(609) 499-5800
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0638196
—
NJ
Enumeration date
05/14/2025
Last updated
05/14/2025
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