Supreme Dental Associates, Llc
General Practice Dentistry in West Orange, NJ(View on Map)
Legal Business Name
Supreme Dental Associates, Llc
NPI Number
1386795409
NPI Type
Organization
Enumeration Date
01/16/2007
Specialties
(Taxonomies)Licenses
State
New Jersey
License Number
22DI02143500
Contact
Information
Purpose
Mailing
Location
Address
331 VALLEY RD
331 VALLEY RD
City
West Orange
West Orange
State
NJ
NJ
Postal Code
07052-5302
07052-5302
Country
US
US
Telephone Number
(973) 325-9800
(973) 325-9800
Authorized Official
Name
Dr. Bedes Osuala
Title or Position
OWNER ADMINISTRATOR
Telephone Number
(973) 325-9800
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020
Provider Address
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