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Organization
SHORE ORAL AND MAXILLOFACIAL SURGERY, LLC
Active
Organization
SHORE ORAL AND MAXILLOFACIAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORIS KALIKA DMD (OWNER)
(609) 748-9600
Entity
Organization
Contact information
Practice address
54 W JIMMIE LEEDS RD, SUITE 6, GALLOWAY, NJ 08205-9438
(609) 748-9600
(609) 748-9611
Mailing address
54 W JIMMIE LEEDS RD, SUITE 6, GALLOWAY, NJ 08205-9438
(609) 748-9600
(609) 748-9611
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02243200
NJ
Other
Enumeration date
08/05/2011
Last updated
10/18/2011
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