Organization
ISLAND DENTAL , LLC
Active
Other names
Ocean Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN MARTIN DMD (PRESDIENT)
(609) 494-4492
Entity
Organization
Contact information
Practice address
508 LONG BEACH BLVD, SHIP BOTTOM, NJ 08008-4727
(609) 597-9290
Mailing address
524 S MAIN ST, WEST CREEK, NJ 08092-3123
(609) 597-9290
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
07/20/2023
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