Organization
HOLLYWOOD DENTISTRY L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN YOUNG KEH DDS (GENERAL DENTIST)
(973) 424-0040
Entity
Organization
Contact information
Practice address
23 BRANFORD PLACE, NEWARK, NJ 07102
(973) 424-0040
(973) 424-0089
Mailing address
23 BRANFORD PLACE, NEWARK, NJ 07102
(973) 424-0040
(973) 424-0089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02140100
NJ
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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