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Organization
THE CLIFTON CENTER FOR ORAL SURGERY AND JAW RECONSTRUCTION LLC
Active
Organization
THE CLIFTON CENTER FOR ORAL SURGERY AND JAW RECONSTRUCTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAT HERNANDEZ (OFFICE MANAGER)
(973) 955-0100
Entity
Organization
Contact information
Practice address
905 ALLWOOD RD, SUITE 202, CLIFTON, NJ 07012-1945
(973) 955-0100
(973) 955-0264
Mailing address
905 ALLWOOD RD, SUITE 202, CLIFTON, NJ 07012-1945
(973) 955-0100
(973) 955-0264
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
18029
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203262
—
NJ
Enumeration date
08/26/2009
Last updated
08/26/2009
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