# MIDDLETOWN FAMILY DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932586914
- **Authorized official:** MICHELE H QUILTY (OFFICE MANAGER)
- **Authorized official phone:** (732) 945-8283

## Contact information

- **Practice address:** 766 ROUTE 35, MIDDLETOWN, NJ 07748-3410
- **Practice address phone:** (732) 945-8283
- **Practice address fax:** (732) 471-6710
- **Mailing address:** 766 ROUTE 35, MIDDLETOWN, NJ 07748-3410
- **Mailing address phone:** (732) 945-8283
- **Mailing address fax:** (732) 471-6710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02348100 | NJ | Yes |

## Other

- **Enumeration date:** 04/29/2015
- **Last updated:** 04/29/2015