Organization · Type 2 NPI
Dental Sanctuary of Fanwood LLC
Dental Clinic/Center · Fanwood, NJ
NPI number
1316710205
Active
Practice location
250 South Ave Ste 103
Fanwood, NJ 07023-1219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in Fanwood
About NPI 1316710205
Dental Sanctuary of Fanwood LLC's National Provider Identifier is 1316710205, issued on Nov 1, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fanwood, NJ. The record was last updated on Feb 27, 2026.