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General NPI Number Information
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NPI Number | 1609995463
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Entity Type | Organization
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Legal Business Name | FRIENDLY DENTAL CENTER INC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 04/16/2009
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Provider Practice Location Address
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Address Line | 604-608 MARKET ST SUITE #3A
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City | NEWARK
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State | NJ
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Zip | 07105-2911
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Country | US
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Telephone | 973-465-8885
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Fax | 973-465-8838
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Provider Business Mailing Address
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Address Line | 604-608 MARKET ST SUITE #3A
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City | NEWARK
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State | NJ
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Zip | 07105-2911
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Country | US
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Telephone | 973-465-8885
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Fax | 973-465-8838
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Authorized Official
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Title or Position | DENTIST
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Name | DR. AYSEN BILGE ADSAY
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Credential | DDS
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Telephone | 973-465-8885
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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 | DL 019787
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License Number State | NJ
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