Organization
CORRECTIONAL DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE AMBROSE HAYLING JR. D.M.D. (PRESIDENT)
(609) 599-2800
Entity
Organization
Contact information
Practice address
192 W STATE ST, TRENTON, NJ 08608-1104
(609) 599-2800
(609) 599-4128
Mailing address
192 W STATE ST, TRENTON, NJ 08608-1104
(609) 599-2800
(609) 599-4128
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NJ
Other
Enumeration date
06/18/2007
Last updated
07/21/2022
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