Family Dentistry of Keyport LLC
NPI #1043714868 in Keyport, New Jersey
Provider Information
- NPI Number
- 1043714868
- Entity Type
- Organization
- Organization Name
- Family Dentistry of Keyport LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 19, 2018
- Last Updated
- Mar 19, 2018
Practice Location
- Address
- 45 MAPLE PL
- City
- Keyport
- State
- New Jersey
- ZIP Code
- 07735-1358
- Phone
- (732) 246-9411
Authorized Official
- Name
- JANIE PADILLA
- Title
- MANAGER
- Phone
- (732) 246-9411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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