Madison Dentistry LLC

NPI #1003457441 in Madison, New Jersey

Provider Information

NPI Number: 1003457441
Entity Type: Organization
Organization Name: Madison Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: Oct 7, 2019
Last Updated: Oct 8, 2019

Practice Location

Address: 268 MAIN STREET, SUITE B
City: Madison
State: New Jersey
ZIP Code: 07940
Phone: (973) 822-8003

Authorized Official

Name: DR. JENNY LAU, DMD
Title: DENTIST
Phone: (917) 667-1488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist	122300000X	Primary

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