Provider Demographics
NPI:1760691943
Name:DENTAL HEALTH
Entity Type:Organization
Organization Name:DENTAL HEALTH
Other - Org Name:PALTAC &ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MILA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALTAGASHVILI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-843-4430
Mailing Address - Street 1:40 MAYHILL ST
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-5307
Mailing Address - Country:US
Mailing Address - Phone:201-843-4430
Mailing Address - Fax:201-843-3083
Practice Address - Street 1:40 MAYHILL ST
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-5307
Practice Address - Country:US
Practice Address - Phone:201-843-4430
Practice Address - Fax:201-843-3083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty