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NPI Code Detail

MEDICARE: UNION DENTAL CENTER, PC

MEDICARE: UNION DENTAL CENTER, PC
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
1122300000XDentist18295NJ

General Provider Information

NPI Number : 1306987334
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNION DENTAL CENTER, PC
Provider Business Mailing Address
First Line : 338 UNION AVE
Second Line :
City : RUTHERFORD
State : NJ
Zip : 07070-1563
Country : US
Telephone Number : 201-531-8887
Fax Number : 201-531-2199
Provider Business Practice Location Address
First Line : 338 UNION AVE
Second Line :
City : RUTHERFORD
State : NJ
Zip : 07070-1563
Country : US
Telephone Number : 201-531-8887
Fax Number : 201-531-2199
Authorized Official
Title or Position : PRESDENT
Name : DR. AMIN AYOUB
Credential : DDS
Telephone Number : 201-531-8887
Provider Enumeration Date : 02/11/2007
Last Update Date : 02/14/2013

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Directions to “UNION DENTAL CENTER, PC ” Practice Location

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