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Organization
LAKE FAMILY DENTISTRY PC
Active
Organization
LAKE FAMILY DENTISTRY PC
Active
Other names
Lake Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANISH QADRI DMD (PRESIDENT)
(732) 388-2822
Entity
Organization
Contact information
Practice address
296 LAKE AVE, COLONIA, NJ 07067-1201
(732) 388-2822
(732) 388-3115
Mailing address
296 LAKE AVE, COLONIA, NJ 07067-1201
(732) 388-2822
(732) 388-3115
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02351300
NJ
Other
Enumeration date
01/21/2012
Last updated
01/26/2015
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