Organization
GORDON MILLER DENTAL
Active
Other names
Dental Health Associates South Jersey, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
JAY RANA (DIRECTOR OF INSURANCE)
(908) 386-2443
Entity
Organization
Contact information
Practice address
680 W MAIN ST, FREEHOLD, NJ 07728-2527
(732) 462-8770
Mailing address
320 S MAIN ST FL 2, PHILLIPSBURG, NJ 08865-2859
(908) 386-2443
(908) 387-8322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
DENTIST
NJ
Enumeration date
08/06/2020
Last updated
08/09/2020
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