Oak Ridge Family Dental Lakeside LLC

NPI #1336596857 in Lake Hopatcong, New Jersey

Provider Information

NPI Number: 1336596857
Entity Type: Organization
Organization Name: Oak Ridge Family Dental Lakeside LLC
Primary Specialty: Dental Therapist
Enumeration Date: May 16, 2016
Last Updated: May 16, 2016

Practice Location

Address: 174 EDISON RD
City: Lake Hopatcong
State: New Jersey
ZIP Code: 07849-2217
Phone: (973) 663-1174

Authorized Official

Name: CHRIS MERWIN, DDS
Title: OWNER
Phone: (973) 663-1174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Therapist	125J00000X	Primary

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