Provider Demographics
NPI:1669001996
Name:AURA DENTAL LLC
Entity Type:Organization
Organization Name:AURA DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ISHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-993-7696
Mailing Address - Street 1:1150 STATE ROUTE 23 NORTH
Mailing Address - Street 2:
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405
Mailing Address - Country:US
Mailing Address - Phone:201-993-7696
Mailing Address - Fax:
Practice Address - Street 1:1280 ROUTE 46
Practice Address - Street 2:2ND FLR SUITE 6
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054
Practice Address - Country:US
Practice Address - Phone:973-794-6270
Practice Address - Fax:973-794-6269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental