Organization
KIDZDENT CHILDRENS DENTAL CENTER LLC
Active
Other names
Dental Care Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
2455 ROUTE 516, OLD BRIDGE, NJ 08857-1892
(732) 679-2323
Mailing address
2455 ROUTE 516, OLD BRIDGE, NJ 08857-1892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
04/16/2023
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