Organization
NJ OMS SDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE V DASCH (DIREC OF CRED & PR)
(504) 638-0303
Entity
Organization
Contact information
Practice address
272 PARSIPPANY RD, PARSIPPANY, NJ 07054-5177
(973) 887-8780
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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