| Suburban Periodontics And Implants Llc | |
|
75 Main Street Suite 107 Millburn NJ 07041 | |
| (973) 467-5567 | |
| (973) 467-5639 |
| Full Name | Suburban Periodontics And Implants Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 75 Main Street, Millburn, New Jersey |
| Authorized Official Name and Position | Cheryl J Goren Robins (PARTNER) |
| Authorized Official Contact | 9734675567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Periodontics And Implants Llc 75 Main Street Suite 107 Millburn NJ 07041 Ph: (973) 467-5567 | Suburban Periodontics And Implants Llc 75 Main Street Suite 107 Millburn NJ 07041 Ph: (973) 467-5567 |
| NPI Number | 1639283948 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639283948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | TIN (New Jersey) | Primary |
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