Organization
BEACON FAMILY DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMESH KIANFAR TAHERI D.M.D (PRESIDENT /OWNER)
(201) 724-0600
Entity
Organization
Contact information
Practice address
8 BALDWIN AVE, JERSEY CITY, NJ 07304-3154
(201) 327-6139
Mailing address
8 BALDWIN AVE, JERSEY CITY, NJ 07304-3154
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02163100
NJ
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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