Organization
ANTHONY FASCIANO, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY FASCIANO DMD (OWNER)
(201) 894-0350
Entity
Organization
Contact information
Practice address
617 E PALISADE AVE, ENGLEWOOD CLIFFS, NJ 07632-1831
(201) 894-0350
(201) 541-6728
Mailing address
617 E PALISADE AVE, ENGLEWOOD CLIFFS, NJ 07632-1831
(201) 894-0350
(201) 541-6728
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
NJ17458
NJ
Other
Enumeration date
11/21/2006
Last updated
03/01/2012
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