# WHITE OAK DENTAL NJ LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** White Oak Dental & Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609552009
- **Authorized official:** DR. ALVIN AQUINO DMD (CEO)
- **Authorized official phone:** (732) 582-4224

## Contact information

- **Practice address:** 1040 US HIGHWAY 1 STE 103, AVENEL, NJ 07001-1539
- **Practice address phone:** (732) 582-4224
- **Practice address fax:** (732) 582-4211
- **Mailing address:** 1040 US HIGHWAY 1 STE 103, AVENEL, NJ 07001-1539
- **Mailing address phone:** (732) 582-4224
- **Mailing address fax:** (732) 582-4211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 06/22/2023
- **Last updated:** 06/22/2023
