# METUCHEN DENTAL GROUP PA

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

## Provider details

- **NPI number:** 1720104250
- **Authorized official:** DR. STUART A MOZLIN D.M.D (DENTIST)
- **Authorized official phone:** (732) 321-1151

## Contact information

- **Practice address:** 26 BRIDGE ST, METUCHEN, NJ 08840-2276
- **Practice address phone:** (732) 321-1151
- **Practice address fax:** (732) 548-8115
- **Mailing address:** 26 BRIDGE ST, METUCHEN, NJ 08840-2276
- **Mailing address phone:** (732) 321-1151
- **Mailing address fax:** (732) 548-8115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 10971 | NJ | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 08/22/2020
