Festina, Alla
Festina, Alla is an sole proprietor health care provider with primary practice located at 301 Prospect Ave , Pine Beach NJ 08741-1044. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is her primary health care specialty. Festina, Alla can be contacted via phone (732) 341-1200.Contact Information
Primary practice address
301 Prospect Ave
Pine Beach NJ 08741-1044
Phone: (732) 341-1200
Fax: (732) 557-4542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22DI02070300 | New Jersey |
| Dental Providers / Dentist | 122300000X | 22DI02070300 | New Jersey |
Profile Details
| NPI number | 1922025675 |
|---|---|
| LBN Legal business name | Festina, Alla |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Mar 4th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922025675 | NPPES |
| New Jersey | MEDICAID | 0221571 |
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