Organization
MAGIC DENTAL NJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAN MA DDS (PRESIDENT)
(732) 985-8882
Entity
Organization
Contact information
Practice address
1716 ROUTE 27 FL 2, EDISON, NJ 08817-3449
(732) 985-8882
(732) 985-8883
Mailing address
1716 ROUTE 27 FL 2, EDISON, NJ 08817-3449
(732) 985-8882
(732) 985-8883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI21220
NJ
1223G0001X
General Practice Dentistry
DZ02296100
NJ
Other
Enumeration date
12/28/2006
Last updated
01/30/2008
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