| Nj Dfc Orthodontics, Llc | |
|
870 River Ave Lakewood NJ 08701-5280 | |
| (484) 787-2946 | |
| Not Available |
| Full Name | Nj Dfc Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 870 River Ave, Lakewood, New Jersey |
| Authorized Official Name and Position | Phi Le (CREDENTIALING CONTRACTS MANAGER) |
| Authorized Official Contact | 2675752321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nj Dfc Orthodontics, Llc 300 Willowbrook Ln Ste 330 West Chester PA 19382-5594 Ph: () - | Nj Dfc Orthodontics, Llc 870 River Ave Lakewood NJ 08701-5280 Ph: (484) 787-2946 |
| NPI Number | 1942977491 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 08/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942977491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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