Organization
QD 775 UNION BLVD., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR SALVADOR DMD (OWNER)
(973) 812-1234
Entity
Organization
Contact information
Practice address
775 UNION BLVD, TOTOWA, NJ 07512-2207
(973) 812-1234
(973) 812-0679
Mailing address
775 UNION BLVD, TOTOWA, NJ 07512-2207
(973) 812-1234
(973) 812-0679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15934
NJ
1223G0001X
General Practice Dentistry
16139
NJ
Other
Enumeration date
03/21/2006
Last updated
08/22/2020
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