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Organization
ORANGE ST DENTAL ASSOCIATES LLC
Active
Organization
ORANGE ST DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SKOLNICK (OWNER)
(973) 578-8788
Entity
Organization
Contact information
Practice address
509 ORANGE ST, NEWARK, NJ 07107-2128
(973) 578-8788
(973) 578-8799
Mailing address
509 ORANGE ST, NEWARK, NJ 07107-2128
(973) 578-8788
(973) 578-8799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
11/08/2016
Last updated
02/25/2020
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