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Organization
IMPLANT & DENTAL CENTER OF NJ PC
Active
Organization
IMPLANT & DENTAL CENTER OF NJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LAC DDS (OWNER)
(201) 868-0808
Entity
Organization
Contact information
Practice address
6815 BERGENLINE AVE, GUTTENBERG, NJ 07093-1807
(201) 868-0808
Mailing address
18 KEARNY AVE, KEARNY, NJ 07032-2372
(201) 868-0808
(201) 955-2651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
02028800
NJ
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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