Old Bridge Family Orthodontics LLC
NPI #1730406109 in Old Bridge, New Jersey
Provider Information
- NPI Number
- 1730406109
- Entity Type
- Organization
- Organization Name
- Old Bridge Family Orthodontics LLC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Apr 26, 2010
- Last Updated
- Apr 26, 2010
Practice Location
- Address
- 28 THROCKMORTON LN
- Address 2
- SUITE 104
- City
- Old Bridge
- State
- New Jersey
- ZIP Code
- 08857-2558
- Phone
- (732) 727-6666
Authorized Official
- Name
- VIRGIL JASON VIVES, DDS
- Title
- ORTHODONTIST
- Phone
- (732) 727-6666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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