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General NPI Number Information
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NPI Number | 1881792620
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Entity Type | Organization
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Legal Business Name | WEST MORRIS DENTAL ASSOCIATES
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 20 COMMERCE BLVD SUITE B
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City | SUCCASUNNA
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State | NJ
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Zip | 07876-1348
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Country | US
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Telephone | 973-584-1066
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Fax | 973-584-6790
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Provider Business Mailing Address
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Address Line | 20 COMMERCE BLVD SUITE B
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City | SUCCASUNNA
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State | NJ
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Zip | 07876-1348
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Country | US
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Telephone | 973-584-1066
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Fax | 973-584-6790
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Authorized Official
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Title or Position | OWNER
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Name | CINDY ADELSTEIN
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Credential | D.M.D.
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Telephone | 973-584-1066
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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 | 17387
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License Number State | NJ
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