| Shelton Oral Surgery Pa | |
|
573 Martin Luther King Blvd Newark NJ 07102 | |
| (973) 621-6678 | |
| (973) 622-1710 |
| Full Name | Shelton Oral Surgery Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 573 Martin Luther King Blvd, Newark, New Jersey |
| Authorized Official Name and Position | Maria Shelton (MANAGER) |
| Authorized Official Contact | 9736216678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelton Oral Surgery Pa 573 Martin Luther King Blvd Newark NJ 07102 Ph: (973) 621-6678 | Shelton Oral Surgery Pa 573 Martin Luther King Blvd Newark NJ 07102 Ph: (973) 621-6678 |
| NPI Number | 1417083106 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 09/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417083106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 08689 (New Jersey) | Primary |
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