Provider Demographics
NPI:1497397475
Name:AV DENTAL ASSOCIATES OF RAMSEY LLC
Entity Type:Organization
Organization Name:AV DENTAL ASSOCIATES OF RAMSEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ARASH
Authorized Official - Middle Name:
Authorized Official - Last Name:VAHID
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-845-4046
Mailing Address - Street 1:176 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1925
Mailing Address - Country:US
Mailing Address - Phone:734-845-4046
Mailing Address - Fax:201-786-9161
Practice Address - Street 1:176 E MAIN ST
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1925
Practice Address - Country:US
Practice Address - Phone:734-845-4046
Practice Address - Fax:201-786-9161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty