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Organization
SUMMIT ORAL AND MAXILLOFACIAL SURGERY,PA
Active
Organization
SUMMIT ORAL AND MAXILLOFACIAL SURGERY,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON ALBERT BARTLETT DDS (OWNER)
(908) 273-5451
Entity
Organization
Contact information
Practice address
155 SUMMIT AVE, SUMMIT, NJ 07901-2803
(908) 273-5451
Mailing address
155 SUMMIT AVE, SUMMIT, NJ 07901-2803
(908) 273-5451
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
06/20/2008
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