| Michael P Todres Dds Pa | |
|
450 E Kennedy Blvd Lakewood NJ 08701-1488 | |
| (732) 901-7214 | |
| Not Available |
| Full Name | Michael P Todres Dds Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 450 E Kennedy Blvd, Lakewood, New Jersey |
| Authorized Official Name and Position | Michael Todres (PRESIDENT) |
| Authorized Official Contact | 7329017214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael P Todres Dds Pa 269 Ridge Ave Lakewood NJ 08701-3447 Ph: () - | Michael P Todres Dds Pa 450 E Kennedy Blvd Lakewood NJ 08701-1488 Ph: (732) 901-7214 |
| NPI Number | 1134465115 |
|---|---|
| Provider Enumeration Date | 12/20/2012 |
| Last Update Date | 12/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134465115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI02314000 (New Jersey) | Primary |
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