| Kids Dental Of Nj | |
|
342 Mounts Corner Drive Freehold NJ 07728 | |
| (732) 414-2686 | |
| (732) 414-2687 |
| Full Name | Kids Dental Of Nj |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 342 Mounts Corner Drive, Freehold, New Jersey |
| Authorized Official Name and Position | Lisa Lazzara (DENTIST) |
| Authorized Official Contact | 7324142686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Of Nj 342 Mounts Corner Drive Freehold NJ 07728 Ph: (732) 414-2686 | Kids Dental Of Nj 342 Mounts Corner Drive Freehold NJ 07728 Ph: (732) 414-2686 |
| NPI Number | 1225335466 |
|---|---|
| Provider Enumeration Date | 02/24/2011 |
| Last Update Date | 03/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225335466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22DI01990500 (New Jersey) | Primary |
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