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Jamie Diament-golub, Dmd Pc
Dental Clinic/Center in Fort Lee, New Jersey
NPI 1831362854

Jamie Diament-golub, Dmd Pc is a Dental Clinic/Center based in Fort Lee, NJ and is specialized in Dental. Jamie Diament-golub, Dmd Pc practices in Fort Lee, NJ. The NPI Number for Jamie Diament-golub, Dmd Pc is 1831362854 and holds a License No. (New Jersey).

The current practice location address for Jamie Diament-golub, Dmd Pc is 2185 Lemoine Ave, Fort Lee, NJ and can be reached out via phone at 201-944-7636.

Location: 2185 Lemoine Ave, Fort Lee, NJ, 07024-6036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831362854
Provider Name
Jamie Diament-golub, Dmd Pc
Credential
Provider Entity Type
Organization
Address
2185 Lemoine Ave, Fort Lee, NJ, 07024-6036
Phone Number
201-944-7636
Fax Number
Provider Enumeration Date
04/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
053459 01 NY NY DENTAL LICENSE
22DI01630800 01 NJ DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2185 Lemoine Ave
City
Fort Lee
State
New Jersey
Zip
07024-6036
Phone Number
201-944-7636
Fax Number
person
Provider Business Mailing Address Details
Address
2185 Lemoine Ave
City
Fort Lee
State
New Jersey
Zip
07024-6036
Phone Number
201-944-7636
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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