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Organization
SUPREME DENTAL ASSOCIATES, LLC
Active
Organization
SUPREME DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEDES OSUALA D.M.D. (OWNER ADMINISTRATOR)
(973) 325-9800
Entity
Organization
Contact information
Practice address
331 VALLEY RD, WEST ORANGE, NJ 07052-5302
(973) 325-9800
(973) 325-9877
Mailing address
331 VALLEY RD, WEST ORANGE, NJ 07052-5302
(973) 325-9800
(973) 325-9877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02143500
NJ
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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