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NPI Code Detail

MEDICARE: WARREN R. STENVALL, LLC

MEDICARE: WARREN R. STENVALL, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/CenterNJ10861NJ

General Provider Information

NPI Number : 1285188599
Entity Type Code : Organization
Provider Name (Legal Business Name) : WARREN R. STENVALL, LLC
Provider Business Mailing Address
First Line : 31 BIG SPRING RD
Second Line :
City : CALIFON
State : NJ
Zip : 07830-3427
Country : US
Telephone Number : 973-214-2512
Fax Number : 908-832-6522
Provider Business Practice Location Address
First Line : 31 BIG SPRING RD
Second Line :
City : CALIFON
State : NJ
Zip : 07830-3427
Country : US
Telephone Number : 973-214-2512
Fax Number : 908-832-6522
Authorized Official
Title or Position : PRESIDENT
Name : DR. WARREN ROBERT STENVALL
Credential : DMD
Telephone Number : 973-214-2512
Provider Enumeration Date : 08/04/2016
Last Update Date : 08/04/2016

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Directions to “WARREN R. STENVALL, LLC ” Practice Location

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