Organization Name: | MIROSLAWA M. PARFOMAK, DDS LLC |
NPI Number: | 1952550287 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIROSLAWA M PARFOMAK (OWNER) |
Mailing Address: | 11 Morrissee Ave Wallington |
State: | NJ US |
Postal Code: | 070572211 |
Phone Number: | 2014387925 |
Fax Number: | 2019353149 |
NPI Enumeration Date: | 09/10/2008 |
NPI Last Update Date: | 09/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 22DIO2094300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |