Organization
LAWRENCEVILLE DENTAL ASSOCIATES, LLC
Active
Other names
Simply Beautiful Smiles of Lawrenceville
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES J ROSE DMD (OWNER)
(609) 883-1770
Entity
Organization
Contact information
Practice address
1200 LAWRENCEVILLE RD, SUITE 2, LAWRENCEVILLE, NJ 08648-3551
(609) 883-1770
(609) 883-1777
Mailing address
1200 LAWRENCEVILLE RD, SUITE 2, LAWRENCEVILLE, NJ 08648-3551
(609) 883-1770
(609) 883-1777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01462203
NJ
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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