Organization
MADISON DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNY LAU DMD (DENTIST)
(917) 667-1488
Entity
Organization
Contact information
Practice address
268 MAIN STREET, SUITE B, MADISON, NJ 07940
(973) 822-8003
Mailing address
268 MAIN STREET, SUITE B, MADISON, NJ 07940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
10/07/2019
Last updated
10/08/2019
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