| Park Place Oral Surgery Llc | |
|
50 Park Pl Ste 1540 Newark NJ 07102-4301 | |
| (973) 643-1130 | |
| Not Available |
| Full Name | Park Place Oral Surgery Llc |
|---|---|
| Speciality | Dentist |
| Location | 50 Park Pl Ste 1540, Newark, New Jersey |
| Authorized Official Name and Position | Michael Skolnick (CEO) |
| Authorized Official Contact | 9736431130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Place Oral Surgery Llc 50 Park Pl Ste 1540 Newark NJ 07102-4301 Ph: (973) 643-1130 | Park Place Oral Surgery Llc 50 Park Pl Ste 1540 Newark NJ 07102-4301 Ph: (973) 643-1130 |
| NPI Number | 1942986104 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 06/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942986104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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