| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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