| Riverside Oral Surgery- Englewood Llc | |
|
300 Grand Ave Ste 102 Englewood NJ 07631-6300 | |
| (201) 487-6565 | |
| (201) 487-4229 |
| Full Name | Riverside Oral Surgery- Englewood Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 300 Grand Ave Ste 102, Englewood, New Jersey |
| Authorized Official Name and Position | Jason Michael Auerbach (OWNER) |
| Authorized Official Contact | 2014876565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Oral Surgery- Englewood Llc 130 Kinderkamack Rd Ste 204 River Edge NJ 07661-1931 Ph: (201) 487-6565 | Riverside Oral Surgery- Englewood Llc 300 Grand Ave Ste 102 Englewood NJ 07631-6300 Ph: (201) 487-6565 |
| NPI Number | 1962912832 |
|---|---|
| Provider Enumeration Date | 10/05/2017 |
| Last Update Date | 02/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962912832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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