Organization
HOBOKEN ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL M SANDMAN D.M.D., M.S. (ORTHODONTIST)
(201) 792-7666
Entity
Organization
Contact information
Practice address
726 WASHINGTON ST, HOBOKEN, NJ 07030-5169
(201) 792-7666
Mailing address
726 WASHINGTON ST, HOBOKEN, NJ 07030-5169
(201) 792-7666
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02309200
NJ
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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