Organization
ROCKAWAY FAMILY DENTAL LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WEIMIN JIN (OWNER)
(973) 784-4749
Entity
Organization
Contact information
Practice address
200 E MAIN ST STE A&B, ROCKAWAY, NJ 07866-3614
(973) 784-4749
(973) 784-4537
Mailing address
200 E MAIN ST STE A&B, ROCKAWAY, NJ 07866-3614
(973) 784-4749
(973) 784-4537
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02217100
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22DI02289200
NJ
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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