Ridgewood Oral Surgery Center Llc | |
385 S Maple Ave Ste 207 Glen Rock NJ 07452-1545 | |
(201) 444-5355 | |
Not Available |
Full Name | Ridgewood Oral Surgery Center Llc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 385 S Maple Ave Ste 207, Glen Rock, New Jersey |
Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
Authorized Official Contact | 7274242990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ridgewood Oral Surgery Center Llc 385 S Maple Ave Ste 207 Glen Rock NJ 07452-1545 Ph: () - | Ridgewood Oral Surgery Center Llc 385 S Maple Ave Ste 207 Glen Rock NJ 07452-1545 Ph: (201) 444-5355 |
NPI Number | 1659944601 |
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Provider Enumeration Date | 07/19/2021 |
Last Update Date | 07/19/2021 |
Identifier | Type | State | Issuer |
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1659944601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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