Organization
KEANSBURG FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA KARAMZADEH D.D.S. (OPERATING MANAGER)
(732) 945-8283
Entity
Organization
Contact information
Practice address
365 CARR AVE, KEANSBURG, NJ 07734-1419
(743) 945-8283
Mailing address
365 CARR AVE, KEANSBURG, NJ 07734-1419
(743) 945-8283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D102285901
NJ
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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