Provider Demographics
NPI:1578282976
Name:ACQUAAH BELGRAVE LLC
Entity Type:Organization
Organization Name:ACQUAAH BELGRAVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EKOW
Authorized Official - Middle Name:
Authorized Official - Last Name:ACQUAAH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-846-2494
Mailing Address - Street 1:812 HAMILTON ST STE 1
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3157
Mailing Address - Country:US
Mailing Address - Phone:732-846-2494
Mailing Address - Fax:732-846-9397
Practice Address - Street 1:812 HAMILTON ST STE 1
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3157
Practice Address - Country:US
Practice Address - Phone:732-846-2494
Practice Address - Fax:732-846-9397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty