Organization
IMMEDIATE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY NARDEA DDS (PRESIDENT)
(732) 222-8516
Entity
Organization
Contact information
Practice address
121 HIGHWAY 36, #100, WEST LONG BRANCH, NJ 07764
(732) 222-8516
(732) 542-1558
Mailing address
121 HIGHWAY 36, #100, WEST LONG BRANCH, NJ 07764
(732) 222-8516
(732) 542-1558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/24/2006
Last updated
08/22/2020
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