Organization
ORALFACIAL ESTHETICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JACKSON DMD (PRESIDENT)
(201) 760-0994
Entity
Organization
Contact information
Practice address
82 E ALLENDALE RD, SUITE 1B, SADDLE RIVER, NJ 07458-3057
(201) 760-0994
(201) 760-0996
Mailing address
82 E ALLENDALE RD, SUITE 1B, SADDLE RIVER, NJ 07458-3057
(201) 760-0994
(201) 760-0996
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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