# CENTER FOR ORAL SURGERY & DENTAL IMPLANTS OF ROSELLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447657879
- **Authorized official:** AMY LU (OFFICE MANAGER)
- **Authorized official phone:** (908) 241-2114

## Contact information

- **Practice address:** 2305 WOOD AVE, ROSELLE, NJ 07203-2939
- **Practice address phone:** (908) 241-2114
- **Mailing address:** 2305 WOOD AVE, ROSELLE, NJ 07203-2939
- **Mailing address phone:** (908) 241-2114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 22DI01712700 | NJ | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 22DI02405816 | NJ | — |

## Other

- **Enumeration date:** 12/01/2014
- **Last updated:** 12/01/2014