Lakewood Family and Cosmetic Dental Care, PC
NPI #1083806582 in Lakewood, New Jersey
Provider Information
- NPI Number
- 1083806582
- Entity Type
- Organization
- Organization Name
- Lakewood Family and Cosmetic Dental Care, PC
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 17, 2007
- Last Updated
- Aug 17, 2007
Practice Location
- Address
- 500 RIVER AVE
- Address 2
- SUITE 240
- City
- Lakewood
- State
- New Jersey
- ZIP Code
- 08701-4738
- Phone
- (732) 364-5505
Authorized Official
- Name
- DR. OLEG TABAK
- Title
- DENTIST
- Phone
- (732) 364-5505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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