Organization
RIDGEWOOD VALLEY DENTISTRY LLC
Active
Other names
RIDGEWOOD VALLEY PEDIATRIC DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS A AVIANTO DMD (OWNER/MEMBER)
(201) 655-4122
Entity
Organization
Contact information
Practice address
385 S MAPLE AVE STE 107, GLEN ROCK, NJ 07452-1543
(201) 655-4122
Mailing address
385 S MAPLE AVE STE 107, GLEN ROCK, NJ 07452-1543
(201) 655-4122
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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