Lake Family Dentistry PC
NPI #1275804312 in Colonia, New Jersey
Provider Information
- NPI Number
- 1275804312
- Entity Type
- Organization
- Organization Name
- Lake Family Dentistry PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 21, 2012
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 296 LAKE AVE
- City
- Colonia
- State
- New Jersey
- ZIP Code
- 07067-1201
- Phone
- (732) 388-2822
Authorized Official
- Name
- DR. DANISH QADRI, DMD
- Title
- PRESIDENT
- Phone
- (732) 388-2822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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