Children's Dental Surgery Center of Jackson LLC
NPI #1710552278 in Jackson, New Jersey
Provider Information
- NPI Number
- 1710552278
- Entity Type
- Organization
- Organization Name
- Children's Dental Surgery Center of Jackson LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 26, 2021
- Last Updated
- Aug 24, 2022
Practice Location
- Address
- 27 S COOKS BRIDGE RD STE 2-3
- City
- Jackson
- State
- New Jersey
- ZIP Code
- 08527-2462
- Phone
- (732) 928-1099
Authorized Official
- Name
- VAN PHI LE
- Title
- CREDENTIALING CONTRACTS MANAGER
- Phone
- (267) 575-2321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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