Mid-Atlantic Periodontics, PC
NPI #1578687547 in Freehold, New Jersey
Provider Information
- NPI Number
- 1578687547
- Entity Type
- Organization
- Organization Name
- Mid-Atlantic Periodontics, PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 555 IRON BRIDGE RD
- Address 2
- SUITE #14
- City
- Freehold
- State
- New Jersey
- ZIP Code
- 07728-2975
- Phone
- (732) 409-0090
Authorized Official
- Name
- DR. MITESH G FALDU, D.M.D
- Title
- OWNER
- Phone
- (732) 409-0090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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