Organization
FORDS FAMILY DENTAL CARE LLC
Active
Other names
Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
STELLA EFTHYMIOU-BACKOS DDS (DOCTOR/OWNER)
(732) 738-9087
Entity
Organization
Contact information
Practice address
532 NEW BRUNSWICK AVE, FORDS, NJ 08863
(732) 738-9087
(732) 738-7317
Mailing address
532 NEW BRUNSWICK AVENUE, FORDS, NJ 08863
(732) 738-9087
(732) 738-7317
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DI15467
NJ
122300000X
Dentist
Primary
DI16918
NJ
Other
Enumeration date
04/12/2007
Last updated
09/01/2009
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