| Old Bridge Pediatric Dentistry Llc | |
|
3333 Us Highway 9 Fl 2 Old Bridge NJ 08857-2691 | |
| (732) 737-7336 | |
| Not Available |
| Full Name | Old Bridge Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3333 Us Highway 9 Fl 2, Old Bridge, New Jersey |
| Authorized Official Name and Position | Luis E Martinez (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 7328019176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Bridge Pediatric Dentistry Llc 3333 Us Highway 9 Fl 2 Old Bridge NJ 08857-2691 Ph: (732) 737-7336 | Old Bridge Pediatric Dentistry Llc 3333 Us Highway 9 Fl 2 Old Bridge NJ 08857-2691 Ph: (732) 737-7336 |
| NPI Number | 1003677477 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003677477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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