Organization

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)

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

Provider Address