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Organization
NJ DENTAL PARTNERS ONE LLC
Active
Organization
NJ DENTAL PARTNERS ONE LLC
Active
Parent organization
ROBERT M GORDON & JAY A MILLER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROBERT M GORDON & JAY A MILLER
Authorized official
KEITH DUNOFF (OWNER)
(732) 750-0707
Entity
Organization
Contact information
Practice address
680 W MAIN ST, FREEHOLD, NJ 07728-2527
(732) 462-8770
Mailing address
1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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