# ADVANCED ORAL REHABILITAION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Branford Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164781746
- **Authorized official:** DR. WOO IL STEVEN PARK DDS (DENTIST)
- **Authorized official phone:** (973) 424-0040

## Contact information

- **Practice address:** 23 BRANFORD PLACE, NEWARK NJ, NJ 07105
- **Practice address phone:** (973) 424-0040
- **Practice address fax:** (973) 424-0089
- **Mailing address:** 23 BRANFORD PLACE, NEWARK NJ, NJ 07105
- **Mailing address phone:** (973) 424-0040
- **Mailing address fax:** (973) 424-0089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02324700 | NJ | Yes |

## Other

- **Enumeration date:** 05/16/2012
- **Last updated:** 05/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0252727 | — | NJ |