Organization · Type 2 NPI
South Avenue Dental Group
Dental Clinic/Center · Cranford, NJ
NPI number
1285204347
Active
Practice location
104 South Ave E
Cranford, NJ 07016-2944
Mailing address
1106 Grandview Ave
Westfield, NJ 07090-1661
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1285204347
South Avenue Dental Group's National Provider Identifier is 1285204347, issued on Jun 30, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Cranford, NJ. The record was last updated on Jun 30, 2021.