Organization
MASTER DENTISTRY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAIF R WADI (OWNER)
(210) 861-9440
Entity
Organization
Contact information
Practice address
8412 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4265
(201) 758-7834
(201) 758-7837
Mailing address
8412 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4265
(201) 758-7834
(201) 758-7837
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Enumeration date
09/06/2018
Last updated
09/14/2022
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