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General NPI Number Information
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NPI Number | 1386806990
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Entity Type | Organization
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Legal Business Name | AC DENTAL OF LINDEN NJ, INC
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 615 W EDGAR RD
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City | LINDEN
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State | NJ
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Zip | 07036-3203
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Country | US
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Telephone | 908-862-7171
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Fax | 908-862-7575
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Provider Business Mailing Address
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Address Line | 615 W EDGAR RD
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City | LINDEN
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State | NJ
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Zip | 07036-3203
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Country | US
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Telephone | 908-862-7171
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Fax | 908-862-7575
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. RUNJAN SETH
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Credential | DMD
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Telephone | 732-254-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 22DI02214900
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License Number State | NJ
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