Organization
NEW JERSEY LASER DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY LAURENCE JACOBSON DMD (OWNER)
(201) 837-1612
Entity
Organization
Contact information
Practice address
751 TEANECK RD, C/0 DR JACOBSON 3RD FLOOR, TEANECK, NJ 07666-4242
(201) 837-1612
(201) 837-8651
Mailing address
751 TEANECK RD, TEANECK, NJ 07666-4242
(201) 837-1612
(201) 837-8651
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DI19069
NJ
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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