Organization
FAMILY DENTISTRY OF KEYPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIE PADILLA (MANAGER)
(732) 246-9411
Entity
Organization
Contact information
Practice address
45 MAPLE PL, KEYPORT, NJ 07735-1358
(732) 246-9411
Mailing address
90 BROOKLAWN AVE, BRIDGEPORT, CT 06604-2010
(203) 334-4837
(203) 366-9195
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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