Organization
JERSEY CITY PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILMA Y MCPHERSON DMD (PEDIATRIC DENTIST - OWNER)
(201) 434-3000
Entity
Organization
Contact information
Practice address
139 NEWARK AVE, JERSEY CITY, NJ 07302-2811
(201) 434-3000
(201) 434-3001
Mailing address
139 NEWARK AVE, JERSEY CITY, NJ 07302-2811
(201) 434-3000
(201) 434-3001
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DIO2356403
NJ
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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