Provider Demographics
NPI:1962036541
Name:VALLEY ARTS DENTAL LLC
Entity Type:Organization
Organization Name:VALLEY ARTS DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:KLAUSNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:617-872-0564
Mailing Address - Street 1:515 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-5234
Mailing Address - Country:US
Mailing Address - Phone:973-731-8313
Mailing Address - Fax:
Practice Address - Street 1:515 VALLEY RD
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-5234
Practice Address - Country:US
Practice Address - Phone:973-731-8313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-23
Last Update Date:2020-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental