| Madison Dental Care Pa | |
|
402 W County Line Rd Lakewood NJ 08701-1211 | |
| (732) 370-4204 | |
| Not Available |
| Full Name | Madison Dental Care Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 402 W County Line Rd, Lakewood, New Jersey |
| Authorized Official Name and Position | David Wakslak (PRESIDENT) |
| Authorized Official Contact | 7323704204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Dental Care Pa 402 W County Line Rd Lakewood NJ 08701-1211 Ph: (732) 370-4204 | Madison Dental Care Pa 402 W County Line Rd Lakewood NJ 08701-1211 Ph: (732) 370-4204 |
| NPI Number | 1932669538 |
|---|---|
| Provider Enumeration Date | 03/21/2019 |
| Last Update Date | 03/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932669538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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