Watchung Avenue Dental LLC

NPI #1699188417 in Watchung, New Jersey

Provider Information

NPI Number: 1699188417
Entity Type: Organization
Organization Name: Watchung Avenue Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 9, 2014
Last Updated: Jun 9, 2014

Practice Location

Address: 445 WATCHUNG AVE
City: Watchung
State: New Jersey
ZIP Code: 07069-4956
Phone: (908) 222-0007

Authorized Official

Name: DR. LORI LIU, DMD
Title: MEMBER-MANAGER
Phone: (908) 222-0007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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