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Contact Information

21ST AVE DENTAL LLC
318 21ST AVE
PATERSON, NJ07501-3538
 Phone: 973-742-1991
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for 21ST AVE DENTAL LLC · (Female)

NPI # 1114203387
Status Active
Credentials
Entity Individual
Enumeration date 11/01/2011
Last updated 11/01/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 14409
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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