SHORE ORAL MAXILLO SURGERY GROUP PA

Dentist - Oral and Maxillofacial Surgery

Active Organization
NPI: 1619104015

Practice Address

301 MADISON AVE
Lakewood, NJ 08701

Phone: (732) 367-4042

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes DI09103 (NJ)

Frequently Asked Questions

NPI 1619104015 is the National Provider Identifier for SHORE ORAL MAXILLO SURGERY GROUP PA, a Dentist - Oral and Maxillofacial Surgery provider located in Lakewood, NJ. This NPI was enumerated on June 12, 2009.

Quick Facts

NPI
1619104015
Type
Organization
Enumerated
Jun 12, 2009
Last Updated
Jun 12, 2009

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