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Organization
NEW JERSEY CENTER FOR AESTHETIC AND RESTORATIVE DENTISTRY, LLC
Active
Organization
NEW JERSEY CENTER FOR AESTHETIC AND RESTORATIVE DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED EISEN D.M.D. (OWNER)
(973) 766-1532
Entity
Organization
Contact information
Practice address
101 OLD SHORT HILLS RD, SUITE 514, WEST ORANGE, NJ 07052-1000
(973) 766-1532
(973) 766-1529
Mailing address
101 OLD SHORT HILLS RD, SUITE 514, WEST ORANGE, NJ 07052-1000
(973) 766-1532
(973) 766-1529
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02192000
NJ
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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