| All Star Family Orthodontics | |
|
3331 Us Highway 9 Old Bridge NJ 08857-2691 | |
| (732) 727-6666 | |
| Not Available |
| Full Name | All Star Family Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3331 Us Highway 9, Old Bridge, New Jersey |
| Authorized Official Name and Position | Virgil Jason Vives (OWNER) |
| Authorized Official Contact | 7327276666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All Star Family Orthodontics 3331 Highway 9 N Old Bridge NJ 08857-2691 Ph: (732) 727-6666 | All Star Family Orthodontics 3331 Us Highway 9 Old Bridge NJ 08857-2691 Ph: (732) 727-6666 |
| NPI Number | 1417492893 |
|---|---|
| Provider Enumeration Date | 12/21/2016 |
| Last Update Date | 12/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417492893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22D102246000 (New Jersey) | Primary |
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