201 ORAL SURGERY
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1073896809- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 180 OLD TAPPAN RD, OLD TAPPAN, NJ, 076757052
- Phone
- (201) 767-4001
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: NJ #22DI01547211
Dentist, Oral and Maxillofacial Surgery
License: NJ #22DI01805400
Dentist, Oral and Maxillofacial Surgery
Primary License: NJ #22DI02332400
All Addresses
MAILING
180 OLD TAPPAN RD
OLD TAPPAN, NJ, 076757052