| Eastern Dental Of Lawrenceville, Llc | |
|
520 Lawrence Square Blvd S Lawrenceville NJ 08648-2674 | |
| (609) 587-6300 | |
| Not Available |
| Full Name | Eastern Dental Of Lawrenceville, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 520 Lawrence Square Blvd S, Lawrenceville, New Jersey |
| Authorized Official Name and Position | Manish Mistry (DIRECTOR) |
| Authorized Official Contact | 6095876300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Dental Of Lawrenceville, Llc 1030 Saint Georges Ave Avenel NJ 07001-1390 Ph: () - | Eastern Dental Of Lawrenceville, Llc 520 Lawrence Square Blvd S Lawrenceville NJ 08648-2674 Ph: (609) 587-6300 |
| NPI Number | 1497803597 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497803597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19184 (New Jersey) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10967 (New Jersey) | Primary |
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