Organization Name: | AC DENTAL OF HADLEY NJ, INC |
NPI Number: | 1013179613 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUNJAN SETH (DENTIST/OWNER) |
Mailing Address: | 4917 Stelton Rd South Plainfield |
State: | NJ US |
Postal Code: | 070801113 |
Phone Number: | 9087539901 |
Fax Number: | 9087539101 |
NPI Enumeration Date: | 06/26/2008 |
NPI Last Update Date: | 06/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 22DI02214900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |