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Organization
NEW JERSEY PERIODONTICS AND DENTAL IMPLANTS LLC
Active
Organization
NEW JERSEY PERIODONTICS AND DENTAL IMPLANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW S SILVERSTEIN DMD (SOLE MEMBER)
(814) 360-4792
Entity
Organization
Contact information
Practice address
1375 ROUTE 23, BUTLER, NJ 07405-1733
(814) 360-4792
Mailing address
20 ALTAMONT CT, MORRISTOWN, NJ 07960-5325
(814) 360-4792
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI02594900
NJ
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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