| Warren Oral & Maxillofacial Surgery Center, Llc | |
|
31 Mountain Blvd Bldg T Warren NJ 07059-5648 | |
| (908) 222-7922 | |
| (908) 222-7923 |
| Full Name | Warren Oral & Maxillofacial Surgery Center, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 31 Mountain Blvd Bldg T, Warren, New Jersey |
| Authorized Official Name and Position | Daniel Peter Sullivan (ORAL SURGEON/ PARTNER) |
| Authorized Official Contact | 9082227922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren Oral & Maxillofacial Surgery Center, Llc 31 Mountain Blvd Bldg T Warren NJ 07059-5648 Ph: (908) 222-7922 | Warren Oral & Maxillofacial Surgery Center, Llc 31 Mountain Blvd Bldg T Warren NJ 07059-5648 Ph: (908) 222-7922 |
| NPI Number | 1770749426 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770749426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 02036700 (New Jersey) | Primary |
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