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Organization
OLD BRIDGE DENTAL PRACTICE LLC
Active
Organization
OLD BRIDGE DENTAL PRACTICE LLC
Active
Other names
Dental Care Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
125 COUNTY RD 516, OLD BRIDGE, NJ 08857-1421
(732) 967-2214
Mailing address
125 COUNTY RD 516, OLD BRIDGE, NJ 08857-1421
(732) 967-2214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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