Lakewood Dental Associates, LLC

NPI #1760025894 in Lakewood, New Jersey

Provider Information

NPI Number: 1760025894
Entity Type: Organization
Organization Name: Lakewood Dental Associates, LLC
Primary Specialty: Dentist
Enumeration Date: Oct 22, 2019
Last Updated: Dec 21, 2019

Practice Location

Address: 838 RIVER AVE STE 1
City: Lakewood
State: New Jersey
ZIP Code: 08701-5279
Phone: (732) 363-4477

Authorized Official

Name: DOUGLAS GREENFIELD
Title: COMPLIANCE OFFICER
Phone: (215) 422-3647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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