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Organization

WATCHUNG AVENUE DENTAL LLC

Active
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Organization

WATCHUNG AVENUE DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LORI LIU DMD (MEMBER-MANAGER)
(908) 222-0007
Entity
Organization

Contact information

Practice address
445 WATCHUNG AVE, WATCHUNG, NJ 07069-4956
(908) 222-0007
Mailing address
445 WATCHUNG AVE, WATCHUNG, NJ 07069-4956
(908) 222-0007

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02414100
NJ

Other

Enumeration date
06/09/2014
Last updated
06/09/2014
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