# THE LASER DENTAL GROUP

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

## Provider details

- **NPI number:** 1699868414
- **Authorized official:** PETER LOUIE DMD (PRESIDENT)
- **Authorized official phone:** (908) 686-2080

## Contact information

- **Practice address:** 1205 COOLIDGE AVE, UNION, NJ 07083-3720
- **Practice address phone:** (908) 686-2080
- **Practice address fax:** (908) 686-0793
- **Mailing address:** 1205 COOLIDGE AVE, UNION, NJ 07083-3720
- **Mailing address phone:** (908) 686-2080
- **Mailing address fax:** (908) 686-0793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 11317 | NJ | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/22/2020