Organization
GARDEN STATE ORAL & MAXILLOFACIAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART KATZ DMD (PRESIDENT)
(201) 794-3344
Entity
Organization
Contact information
Practice address
1 BROADWAY, SUITE 101, ELMWOOD PARK, NJ 07407-1842
(201) 794-3344
(201) 794-0454
Mailing address
1 BROADWAY, SUITE 101, ELMWOOD PARK, NJ 07407-1842
(201) 794-3344
(201) 794-0454
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DI15847
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DI21870
NJ
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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