# MOFS-NJ ORAL FACIAL SURGERY LLC

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

## Provider details

- **NPI number:** 1043661440
- **Authorized official:** DR. JANET BODEY DDS (MANAGEING MEMBER)
- **Authorized official phone:** (646) 360-4840

## Contact information

- **Practice address:** 901 WASHINGTON ST, HOBOKEN, NJ 07030-5105
- **Practice address phone:** (201) 659-1600
- **Practice address fax:** (212) 202-6447
- **Mailing address:** 6118 RIVERDALE AVE, BRONX, NY 10471-1009
- **Mailing address phone:** (646) 360-4840
- **Mailing address fax:** (212) 202-6447

## Taxonomy

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

## Other

- **Enumeration date:** 06/27/2016
- **Last updated:** 02/12/2018
