Organization
FORT LEE ORTHODONTIC ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON ETHAN GOLUB D.M.D. (PRESIDENT)
(201) 944-9208
Entity
Organization
Contact information
Practice address
2185 LEMOINE AVE, FORT LEE, NJ 07024-6036
(201) 944-9208
(201) 944-3630
Mailing address
2185 LEMOINE AVE, FORT LEE, NJ 07024-6036
(201) 944-9208
(201) 944-3630
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
NJ
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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