Lakewood Family And Cosmetic Dental Care, Pc | |
500 River Ave Suite 240 Lakewood NJ 08701-4738 | |
(732) 364-5505 | |
(732) 364-5595 |
Full Name | Lakewood Family And Cosmetic Dental Care, Pc |
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Speciality | Dentist |
Location | 500 River Ave, Lakewood, New Jersey |
Authorized Official Name and Position | Oleg Tabak (DENTIST) |
Authorized Official Contact | 7323645505 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakewood Family And Cosmetic Dental Care, Pc 500 River Ave Suite 240 Lakewood NJ 08701-4738 Ph: (732) 364-5505 | Lakewood Family And Cosmetic Dental Care, Pc 500 River Ave Suite 240 Lakewood NJ 08701-4738 Ph: (732) 364-5505 |
NPI Number | 1083806582 |
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Provider Enumeration Date | 08/17/2007 |
Last Update Date | 08/17/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083806582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 22DI02295200 (New Jersey) | Primary |
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