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Organization
ROTHMAN AND KIM OMS LLC
Active
Organization
ROTHMAN AND KIM OMS LLC
Active
Other names
Rothman and Kim Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
1701 WYNWOOD DR, CINNAMINSON, NJ 08077-3033
(856) 829-9666
Mailing address
1701 WYNWOOD DR, CINNAMINSON, NJ 08077-3033
(856) 829-9666
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
06/16/2025
Last updated
06/16/2025
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