Organization
PARK AVENUE DENTAL OF NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK A KALOGIANNIS D.M.D. (PRESIDENT/DENTIST)
(201) 507-5000
Entity
Organization
Contact information
Practice address
155 PARK AVE, SUITE 207, LYNDHURST, NJ 07071-1462
(201) 507-5000
(201) 507-5141
Mailing address
155 PARK AVE, SUITE 207, LYNDHURST, NJ 07071-1462
(201) 507-5000
(201) 507-5141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI-18230
NJ
Other
Enumeration date
08/09/2006
Last updated
08/22/2020
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