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Organization

EASTERN DENTAL OF LAUREL SPRINGS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NGUYEN VU-NGUYEN D.D.S (DIRECTOR)
(856) 784-5100
Entity
Organization

Contact information

Practice address
3 KELLY DRIVERS LN, LAUREL SPRINGS, NJ 08021-4823
(856) 784-5100
Mailing address
1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12066
NJ
1223P0300X
Periodontics
09460
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
07879
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23068
NJ

Other

Enumeration date
03/26/2007
Last updated
09/11/2025
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