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NPI Code Detail

MEDICARE: A-ONE DENTAL OF CARTERET, LLC

MEDICARE: A-ONE DENTAL OF CARTERET, 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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1619473113
Entity Type Code : Organization
Provider Name (Legal Business Name) : A-ONE DENTAL OF CARTERET, LLC
Provider Business Mailing Address
First Line : 125 WASHINGTON AVE STE 3A
Second Line :
City : CARTERET
State : NJ
Zip : 07008-2635
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 125 WASHINGTON AVE STE 3A
Second Line :
City : CARTERET
State : NJ
Zip : 07008-2635
Country : US
Telephone Number : 732-713-4768
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : DR. SUNDEEP JOHAL
Credential :
Telephone Number : 732-713-4768
Provider Enumeration Date : 04/03/2018
Last Update Date : 04/03/2018

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Directions to “A-ONE DENTAL OF CARTERET, LLC ” Practice Location

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