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Organization
PRINCETON ORAL AND MAXILLOFACIAL SURGERY
Active
Organization
PRINCETON ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL S. LEVINE D.D.S. (PRESIDENT)
(609) 924-1621
Entity
Organization
Contact information
Practice address
166 BUNN DR, SUITE 103, PRINCETON, NJ 08540-2800
(609) 924-1621
(609) 924-6291
Mailing address
166 BUNN DR, SUITE 103, PRINCETON, NJ 08540-2800
(609) 924-1621
(609) 924-6291
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/20/2007
Last updated
10/13/2010
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