St Michael Dental Clinic Corporation
St Michael Dental Clinic Corporation is a Public Health Dentistry in Bayonne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2013.
- Licensed in
- NJ
- In the registry since
- 2013
Practice location Address checks out
664 BroadwayBayonne, NJ 07002-4726
Phone: (201) 823-2062
Fax: (201) 858-8696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Public Health Dentistry (primary) | Taxonomy 1223D0001X · Licence 22DI02492200 (NJ) |
|---|
Record details
| NPI number | 1487996997 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Olivia Yanni — President · (201) 993-9181 |
| NPI enumerated | March 22, 2013 |
| Last updated in NPPES | March 22, 2013 |
| Mailing address | 664 Broadway, Bayonne, NJ 07002-4726 |