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Organization
MID JERSEY DENTAL
Active
Organization
MID JERSEY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DAVID LURIE D.M.D. (PRESIDENT)
(732) 545-7650
Entity
Organization
Contact information
Practice address
1553 STATE HWY 27, SUITE 3400, SOMERSET, NJ 08873
(732) 545-7650
(732) 846-0858
Mailing address
1553 STATE HWY 27, SUITE 3400, SOMERSET, NJ 08873
(732) 545-7650
(732) 846-0858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DIO1846503
NJ
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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