Organization
MANVILLE DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN K CHEN D.M.D. (MANAGING MEMBER)
(908) 722-6500
Entity
Organization
Contact information
Practice address
7 WASHINGTON AVE, MANVILLE, NJ 08835-1984
(908) 722-6500
(908) 722-7206
Mailing address
7 WASHINGTON AVE, MANVILLE, NJ 08835-1984
(908) 722-6500
(908) 722-7206
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142395
—
NJ
Enumeration date
03/18/2008
Last updated
03/18/2008
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