# MADISON DENTISTRY LLC

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

## Provider details

- **NPI number:** 1003457441
- **Authorized official:** DR. JENNY LAU DMD (DENTIST)
- **Authorized official phone:** (917) 667-1488

## Contact information

- **Practice address:** 268 MAIN STREET, SUITE B, MADISON, NJ 07940
- **Practice address phone:** (973) 822-8003
- **Mailing address:** 268 MAIN STREET, SUITE B, MADISON, NJ 07940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |

## Other

- **Enumeration date:** 10/07/2019
- **Last updated:** 10/08/2019