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Organization
ADVACED DENTAL ASSOCIATES OF SOUTH ORANGE
Active
Organization
ADVACED DENTAL ASSOCIATES OF SOUTH ORANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN KORETZKY DMD (VICE PRESIDENT)
(973) 763-2940
Entity
Organization
Contact information
Practice address
45 PROSPECT ST, SOUTH ORANGE, NJ 07079-2100
(973) 763-2940
(973) 763-0906
Mailing address
41 WYCKOFF DR, PITTSTOWN, NJ 08867-4235
(973) 763-2940
(973) 763-0906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01951600
NJ
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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