Provider Demographics
NPI:1235717901
Name:PRECISION DENTAL GROUP PC
Entity Type:Organization
Organization Name:PRECISION DENTAL GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-885-7842
Mailing Address - Street 1:491 AMWELL RD STE 204
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-8212
Mailing Address - Country:US
Mailing Address - Phone:908-431-0000
Mailing Address - Fax:908-431-0007
Practice Address - Street 1:491 AMWELL RD STE 204
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-8212
Practice Address - Country:US
Practice Address - Phone:908-431-0000
Practice Address - Fax:908-431-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental