Organization
LAKEWOOD FAMILY AND COSMETIC DENTAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEG TABAK (DENTIST)
(732) 364-5505
Entity
Organization
Contact information
Practice address
500 RIVER AVE, SUITE 240, LAKEWOOD, NJ 08701-4738
(732) 364-5505
(732) 364-5595
Mailing address
500 RIVER AVE, SUITE 240, LAKEWOOD, NJ 08701-4738
(732) 364-5505
(732) 364-5595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02295200
NJ
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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