JONATHAN DENTAL SPA AT THE CENTER FOR COSMETIC & IMPLANT DENTISTRY LLC NPI 1295480663

NPI Information

JONATHAN DENTAL SPA AT THE CENTER FOR COSMETIC & IMPLANT DENTISTRY LLC is an oral and maxillofacial surgery dentist in Hawthorne, NJ. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. JONATHAN DENTAL SPA AT THE CENTER FOR COSMETIC & IMPLANT DENTISTRY LLC NPI is 1295480663. The provider is registered as an organization entity type.

The provider's business location address is:

1111 GOFFLE RD
HAWTHORNE, NJ
ZIP 07506-025
Phone: (973) 423-4460

The provider's authorized official is Jonathan Abenaim .
The authorized official title is Owner and has the following contact phone number (973) 423-4460.

The enumeration date for this NPI number is 2/15/2022 and was last updated on 2/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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