Park Place Oral Surgery LLC

NPI #1942986104 in Newark, New Jersey

Provider Information

NPI Number: 1942986104
Entity Type: Organization
Organization Name: Park Place Oral Surgery LLC
Primary Specialty: Dentist
Enumeration Date: Jun 23, 2023
Last Updated: Jun 23, 2023

Practice Location

Address: 50 PARK PL STE 1540
City: Newark
State: New Jersey
ZIP Code: 07102-4301
Phone: (973) 643-1130

Authorized Official

Name: DR. MICHAEL SKOLNICK, DMD
Title: CEO
Phone: (973) 643-1130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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