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Organization
SAINT VICENT'S DENTAL CENTER
Active
Organization
SAINT VICENT'S DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUSTO WONG D.D.S. (OWNER)
(908) 757-5244
Entity
Organization
Contact information
Practice address
116 WATCHUNG AVE, NORTH PLAINFIELD, NJ 07060-4822
(908) 757-5244
Mailing address
116 WATCHUNG AVE, NORTH PLAINFIELD, NJ 07060-4822
(908) 757-5244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02199800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8958700
—
NJ
Enumeration date
11/21/2014
Last updated
11/21/2014
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