# JORGE O CORDOVA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** J C Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063593358
- **Authorized official:** DR. JORGE O CORDOVA D.M.D (OWNER)
- **Authorized official phone:** (973) 627-2121

## Contact information

- **Practice address:** 272 US HIGHWAY 46, ROCKAWAY, NJ 07866-3826
- **Practice address phone:** (973) 627-2121
- **Practice address fax:** (973) 627-2088
- **Mailing address:** 272 US HIGHWAY 46, ROCKAWAY, NJ 07866-3826
- **Mailing address phone:** (973) 627-2121
- **Mailing address fax:** (973) 627-2088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DI-19630 | NJ | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 08/22/2020