Lakewood Family And Cosmetic Dental Care, Pc

NPI 1083806582 - Dentist - 122300000X

NPI Details
NPI 1083806582
Enumeration Date 08/17/2007
Last Updated 08/17/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name OLEG OLEG
Position DENTIST
Phone (732) 364-5505
Fax (732) 364-5595
Practice Location
500 RIVER AVE
SUITE 240
LAKEWOOD NJ, 08701-4738, US
Phone (732) 364-5505
Fax (732) 364-5595
Business Location
500 RIVER AVE
SUITE 240
LAKEWOOD NJ, 08701-4738, US
Phone (732) 364-5505
Fax (732) 364-5595
Toxanomy
Taxonomy Code 122300000X
License State New Jersey
License Number 22DI02295200
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According to our database, Lakewood Family And Cosmetic Dental Care, Pc NPI is 1083806582, taxonomy code is 122300000X and license number is 22DI02295200, license state is located at New Jersey. Lakewood Family And Cosmetic Dental Care, Pc physically located at 500 River Ave, Lakewood NJ, 08701-4738. NPI Number 1033115704 has the healthcare provider type.

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1083806582 NPI number is provided on an as is basis without warranty of any kind. 1083806582 is maintained by the National Plan & Provider Enumeration System. The contents of Lakewood Family And Cosmetic Dental Care, Pc are for informational purposes only.