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General NPI Number Information
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NPI Number | 1548065055
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Entity Type | Organization
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Legal Business Name | NA DENTAL CENTER PC
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 197 RIDGE RD
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City | NORTH ARLINGTON
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State | NJ
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Zip | 07031-6032
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Country | US
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Telephone | 201-998-2821
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Fax | 201-998-3879
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Provider Business Mailing Address
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Address Line | 197 RIDGE RD
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City | NORTH ARLINGTON
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State | NJ
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Zip | 07031-6032
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Country | US
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Telephone | 201-998-2821
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Fax | 201-998-3879
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Authorized Official
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Title or Position | CORPORATE MANAGER
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Name | AMY BODRATO
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Credential |
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Telephone | 973-432-2909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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