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Organization
DR DENTAL OF WEST ORANGE PC
Active
Organization
DR DENTAL OF WEST ORANGE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA CHAMPAGNE (ACCT MGR)
(508) 620-4563
Entity
Organization
Contact information
Practice address
495 PROSPECT AVE, WEST ORANGE, NJ 07052-4100
(508) 620-4563
(508) 297-9083
Mailing address
945 CONCORD ST STE 230, FRAMINGHAM, MA 01701-4613
(508) 620-4563
(508) 297-9083
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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