Organization · Type 2 NPI
Elizabeth Avenue Dentistry, PC
Dental Clinic/Center · Elizabeth, NJ
NPI number
1851781561
Active
Practice location
643 Elizabeth Ave
Elizabeth, NJ 07206-1131
Fax (908) 354-4029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 22424 (NJ) |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Elizabeth
About NPI 1851781561
Elizabeth Avenue Dentistry, PC's National Provider Identifier is 1851781561, issued on Feb 2, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Elizabeth, NJ. The record was last updated on Feb 2, 2015.