Organization
KEARNY ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LORINO DMD (OWNER)
(973) 342-1233
Entity
Organization
Contact information
Practice address
487 KEARNY AVE, KEARNY, NJ 07032-2734
(201) 991-1253
Mailing address
487 KEARNY AVE, KEARNY, NJ 07032-2734
(201) 991-1253
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02152600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078131
—
NJ
Enumeration date
04/30/2018
Last updated
04/30/2018
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