Organization Name: | AARON A DUBOWSKY, DDS & SCOTT M DUBOWSKY, DMD, PA |
NPI Number: | 1043381155 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT MICHAEL DUBOWSKY DUBOWSKY (PRESIDENT) |
Mailing Address: | 12 W 22nd St Bayonne |
State: | NJ US |
Postal Code: | 070023616 |
Phone Number: | 2013391486 |
Fax Number: | 2013391487 |
NPI Enumeration Date: | 11/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 22DI01045200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |