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21st Ave Dental LLC — NPI 1114203387, Paterson, NJ | NPI Central

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OrganizationActive

21st Ave Dental LLC

NPI 1114203387 · Dentist · Paterson, NJ

Provider details

NPI number: 1114203387
Entity type: Organization
Primary specialty: DentistDental Providers
Authorized official: Patrick Ryan, Owner
License: 14409 (NJ)

Practice location

318 21st Ave

Paterson, NJ 07501-3538

Phone: (973) 742-1991

More NJ providers

Mailing address

318 21st Ave

Paterson, NJ 07501-3538

Registry dates

Enumerated: 2011-11-01
Last updated: 2011-11-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.