Broadway Oral Surgery, LLC

NPI #1427734680 in Bayonne, New Jersey

Provider Information

NPI Number: 1427734680
Entity Type: Organization
Organization Name: Broadway Oral Surgery, LLC
Primary Specialty: Dentist
Enumeration Date: Jun 23, 2023
Last Updated: Jun 23, 2023

Practice Location

Address: 925 BROADWAY
City: Bayonne
State: New Jersey
ZIP Code: 07002-3088
Phone: (201) 858-1400

Authorized Official

Name: DR. MICHAEL SKOLNICK, DMD
Title: CEO
Phone: (201) 858-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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