Organization
LN PASSARELLI DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE NICHOLAS PASSARELLI D.D.S. (PRESIDENT)
(201) 444-4050
Entity
Organization
Contact information
Practice address
172 FRANKLIN AVE, RIDGEWOOD, NJ 07450-3250
(201) 444-4050
Mailing address
172 FRANKLIN AVE, RIDGEWOOD, NJ 07450-3250
(201) 444-4050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16974
NJ
Other
Enumeration date
03/06/2007
Last updated
06/16/2008
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