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Organization

MICHAEL P TODRES DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL TODRES (PRESIDENT)
(732) 901-7214
Entity
Organization

Contact information

Practice address
450 E KENNEDY BLVD, LAKEWOOD, NJ 08701-1488
(732) 901-7214
Mailing address
269 RIDGE AVE, LAKEWOOD, NJ 08701-3447

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02314000
NJ

Other

Enumeration date
12/20/2012
Last updated
12/20/2012
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