# ROCKAWAY FAMILY DENTAL LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003059965
- **Authorized official:** DR. WEIMIN JIN (OWNER)
- **Authorized official phone:** (973) 784-4749

## Contact information

- **Practice address:** 200 E MAIN ST STE A&B, ROCKAWAY, NJ 07866-3614
- **Practice address phone:** (973) 784-4749
- **Practice address fax:** (973) 784-4537
- **Mailing address:** 200 E MAIN ST STE A&B, ROCKAWAY, NJ 07866-3614
- **Mailing address phone:** (973) 784-4749
- **Mailing address fax:** (973) 784-4537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02217100 | NJ | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 22DI02289200 | NJ | — |

## Other

- **Enumeration date:** 04/08/2009
- **Last updated:** 04/08/2009