Metropolitan Craniofacial Center | |
101 Old Short Hills Road Penthouse Ii West Orange NJ 07052 | |
(973) 736-7616 | |
(973) 325-3487 |
Full Name | Metropolitan Craniofacial Center |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 101 Old Short Hills Road, West Orange, New Jersey |
Authorized Official Name and Position | Theodore A Niebloom (DOCTOR VP) |
Authorized Official Contact | 9737367616 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Metropolitan Craniofacial Center 101 Old Short Hills Road Penthouse Ii West Orange NJ 07052 Ph: (973) 736-7616 | Metropolitan Craniofacial Center 101 Old Short Hills Road Penthouse Ii West Orange NJ 07052 Ph: (973) 736-7616 |
NPI Number | 1306922422 |
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Provider Enumeration Date | 10/31/2006 |
Last Update Date | 10/05/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306922422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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