Organization
OPTIMUM ORAL SURGERY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD REBHUN (OWNER)
(856) 772-1500
Entity
Organization
Contact information
Practice address
2301 E EVESHAM RD, SUITE 211, VOORHEES, NJ 08043-4501
(856) 772-1500
(856) 772-0711
Mailing address
2301 E EVESHAM RD, SUITE 211, VOORHEES, NJ 08043-4501
(856) 772-1500
(856) 772-0711
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
12708
NJ
Other
Enumeration date
05/26/2016
Last updated
08/27/2019
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