# MICHAEL D TSUBOTA DDS LLC

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

## Provider details

- **NPI number:** 1144456203
- **Authorized official:** MICHAEL D TSUBOTA D.D.S. (SOLE MBR)
- **Authorized official phone:** (201) 337-9199

## Contact information

- **Practice address:** 109 FRANKLIN AVE, OAKLAND, NJ 07436-3406
- **Practice address phone:** (201) 337-9199
- **Practice address fax:** (201) 337-6428
- **Mailing address:** 109 FRANKLIN AVE, OAKLAND, NJ 07436-3406
- **Mailing address phone:** (201) 337-9199
- **Mailing address fax:** (201) 337-6428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DIO1395900 | NJ | Yes |

## Other

- **Enumeration date:** 06/03/2009
- **Last updated:** 06/03/2009