Professional Oral Surgery Alliance of New Jersey, LLC

NPI #1366051195 in Fort Lee, New Jersey

Provider Information

NPI Number: 1366051195
Entity Type: Organization
Organization Name: Professional Oral Surgery Alliance of New Jersey, LLC
Primary Specialty: Dentist
Enumeration Date: Jul 28, 2020
Last Updated: Jul 28, 2020

Practice Location

Address: 1530 PALISADE AVE
City: Fort Lee
State: New Jersey
ZIP Code: 07024-5471
Phone: (201) 585-8282

Authorized Official

Name: LAUREN HOWARD, MA
Title: CREDENTIALING SPECIALIST
Phone: (757) 576-5479

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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