| Shelton Oral Surgery & Implant Center, Pc | |
|
1146 Stuyvesant Ave Irvington NJ 07111-1059 | |
| (973) 849-6587 | |
| Not Available |
| Full Name | Shelton Oral Surgery & Implant Center, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1146 Stuyvesant Ave, Irvington, New Jersey |
| Authorized Official Name and Position | Andrew D Kim (PRESIDENT) |
| Authorized Official Contact | 9738496587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelton Oral Surgery & Implant Center, Pc 1146 Stuyvesant Ave Irvington NJ 07111-1059 Ph: () - | Shelton Oral Surgery & Implant Center, Pc 1146 Stuyvesant Ave Irvington NJ 07111-1059 Ph: (973) 849-6587 |
| NPI Number | 1649834243 |
|---|---|
| Provider Enumeration Date | 04/29/2019 |
| Last Update Date | 04/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649834243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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