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Contact Information

DIVINE DENTAL LLC
485 S WASHINGTON AVE
BERGENFIELD, NJ07621-4313
 Phone: 201-345-8881
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for DIVINE DENTAL LLC · (Female)

NPI # 1336772664
Status Active
Credentials
Entity Individual
Enumeration date 02/14/2020
Last updated 02/14/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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