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Organization
ML MAXILLOFACIAL SURGERY
Active
Organization
ML MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN MICHEL DDS (OWNER/SURGEON)
(862) 298-5188
Entity
Organization
Contact information
Practice address
333 US HIGHWAY 46 STE 2-7D, MOUNTAIN LAKES, NJ 07046-1743
(862) 298-5188
(862) 298-5189
Mailing address
333 US HIGHWAY 46 STE 2-7D, MOUNTAIN LAKES, NJ 07046-1743
(862) 298-5188
(862) 298-5189
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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