Organization

Park Place Oral Surgery Llc

Dentist in Newark, NJ(View on Map)

Legal Business Name

Park Place Oral Surgery Llc

NPI Number

1942986104

NPI Type

Organization

Enumeration Date

06/23/2023

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

50 PARK PL STE 1540
50 PARK PL STE 1540

City

Newark
Newark

State

NJ
NJ

Postal Code

07102-4301
07102-4301

Country

US
US

Telephone Number

(973) 643-1130
(973) 643-1130

Authorized Official

Name

Dr. Michael Skolnick

Title or Position

CEO

Telephone Number

(973) 643-1130

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/23/2023

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