Organization · Type 2 NPI
Dental Mentors
Dental Clinic/Center · Lincoln Park, NJ
NPI number
1710300702
Active
Practice location
166 Main St, Suite 1B
Lincoln Park, NJ 07035-3707
Fax (973) 696-0037
Mailing address
PO Box 457, 166 Main Street Suite 1B
Lincoln Park, NJ 07035-0457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DI18340 (NJ) |
| Dental Clinic/Center | 261QD0000X | DI18175 (NJ) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1710300702
Dental Mentors's National Provider Identifier is 1710300702, issued on Jan 27, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lincoln Park, NJ. The record was last updated on Oct 5, 2015.