Eastern Dental Of Laurel Springs, Llc
Legal Business Name
Eastern Dental Of Laurel Springs, Llc
NPI Number
1154448744
NPI Type
Organization
Enumeration Date
03/26/2007
Specialties
(Taxonomies)Name
Code
1223G0001X
1223S0112X
1223X0400X
1223P0300X
Primary Taxonomy
No
No
No
No
Licenses
State
New Jersey
New Jersey
New Jersey
New Jersey
License Number
12066
07879
23068
09460
Contact
Information
Purpose
Mailing
Location
Address
1030 SAINT GEORGES AVE
3 KELLY DRIVERS LN
City
Avenel
Laurel Springs
State
NJ
NJ
Postal Code
07001-1390
08021-4823
Country
US
US
Telephone Number
N/A
(856) 784-5100
Authorized Official
Name
Dr. Nguyen Vu-nguyen
Title or Position
DIRECTOR
Telephone Number
(856) 784-5100
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020