# ENCORE DENTAL OF LACEY

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

## Provider details

- **NPI number:** 1720334345
- **Authorized official:** CHRISTOPHER EMMA D.M.D (OWNER/GENERAL DENTIST)
- **Authorized official phone:** (609) 549-6925

## Contact information

- **Practice address:** 335 NORTH MAIN ST., UNIT \# 4, LANOKA HARBOR, NJ 08734
- **Practice address phone:** (609) 549-6925
- **Practice address fax:** (609) 549-6931
- **Mailing address:** 335 NORTH MAIN ST., UNIT \# 4, LANOKA HARBOR, NJ 08734
- **Mailing address phone:** (609) 549-6925
- **Mailing address fax:** (609) 549-6931

## Taxonomy

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

## Other

- **Enumeration date:** 08/01/2012
- **Last updated:** 08/01/2012