201 Oral Surgery

NPI #1073896809 in Old Tappan, New Jersey

Provider Information

NPI Number
1073896809
Entity Type
Organization
Organization Name
201 Oral Surgery
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Sep 28, 2011
Last Updated
Sep 28, 2011

Practice Location

Address
180 OLD TAPPAN RD
ZIP Code
07675-7052
Phone
(201) 767-4001

Authorized Official

Name
MRS. SUZANNE WALTKE
Title
OFFICE MANAGER
Phone
(201) 767-4001

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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