South Orange Dental Center PA
NPI #1316604275 in South Orange, New Jersey
Provider Information
- NPI Number
- 1316604275
- Entity Type
- Organization
- Organization Name
- South Orange Dental Center PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 26, 2021
- Last Updated
- Nov 26, 2021
Practice Location
- Address
- 481 S ORANGE AVE
- City
- South Orange
- State
- New Jersey
- ZIP Code
- 07079-2642
- Phone
- (973) 762-2660
Authorized Official
- Name
- HANIEL ROSEMOND, DDS, FAGD
- Title
- OWNER
- Phone
- (973) 762-2660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
| Dentist - General Practice — General Practice |
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