201 ORAL SURGERY

NPI: 1073896809 · Organization · Active

Primary Specialty

Oral and Maxillofacial Surgery (Dentist)
Dentist — Oral and Maxillofacial Surgery

Practice Location

180 OLD TAPPAN RD
OLD TAPPAN, NJ 07675-7052 Map ↗
Phone: 201-767-4001

All Specialties & Licenses

  • Oral and Maxillofacial Surgery (Dentist) Primary — Oral and Maxillofacial Surgery (license: 22DI02332400, NJ)

NPI Registration

Enumerated: 2011-09-28

Last CMS Update: 2011-09-28