# HOLLYWOOD DENTISTRY L.L.C

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

## Provider details

- **NPI number:** 1124370374
- **Authorized official:** DR. JOHN YOUNG KEH DDS (GENERAL DENTIST)
- **Authorized official phone:** (973) 424-0040

## Contact information

- **Practice address:** 23 BRANFORD PLACE, NEWARK, NJ 07102
- **Practice address phone:** (973) 424-0040
- **Practice address fax:** (973) 424-0089
- **Mailing address:** 23 BRANFORD PLACE, NEWARK, NJ 07102
- **Mailing address phone:** (973) 424-0040
- **Mailing address fax:** (973) 424-0089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02140100 | NJ | Yes |

## Other

- **Enumeration date:** 10/12/2012
- **Last updated:** 10/12/2012