# IMPLANT & DENTAL CENTER OF NJ PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235540667
- **Authorized official:** DR. DAVID LAC DDS (OWNER)
- **Authorized official phone:** (201) 868-0808

## Contact information

- **Practice address:** 6815 BERGENLINE AVE, GUTTENBERG, NJ 07093-1807
- **Practice address phone:** (201) 868-0808
- **Mailing address:** 18 KEARNY AVE, KEARNY, NJ 07032-2372
- **Mailing address phone:** (201) 868-0808
- **Mailing address fax:** (201) 955-2651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 02028800 | NJ | Yes |

## Other

- **Enumeration date:** 05/20/2014
- **Last updated:** 05/20/2014