Organization
ALL QUALITY DENTAL LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRIGORIY YUSUPOV DDS (DDS OWNER)
(908) 527-8688
Entity
Organization
Contact information
Practice address
65 JEFFERSON AVE, ELIZABETH, NJ 07201
(908) 527-8688
(908) 527-9399
Mailing address
65 JEFFERSON AVE, ELIZABETH, NJ 07201
(908) 527-8688
(908) 527-9399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI 02237900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026492
—
NJ
05
—
9070109
—
NJ
Enumeration date
05/23/2007
Last updated
08/22/2020
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