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Organization
ADVANCED DENTAL GROUP OF LONG BRANCH PC
Active
Organization
ADVANCED DENTAL GROUP OF LONG BRANCH PC
Active
Other names
Jersey Shore Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS OH (OWNER)
(201) 509-1032
Entity
Organization
Contact information
Practice address
107 MONMOUTH RD STE 107, WEST LONG BRANCH, NJ 07764-1021
(201) 509-1032
Mailing address
PO BOX 1118, FORT LEE, NJ 07024-1118
(201) 509-1032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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