Organization
SUMMIT DENTIST
Active
Other names
Aesthetic Dentistry of Summit LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINDY OK DMD (OWNER)
(908) 273-3873
Entity
Organization
Contact information
Practice address
52 DEFOREST AVE, 3RD FLOOR, SUMMIT, NJ 07901-1930
(908) 273-3873
(908) 273-0905
Mailing address
52 DEFOREST AVE, 3RD FLOOR, SUMMIT, NJ 07901
(908) 273-3873
(908) 273-0905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22-DI02025200
NJ
Other
Enumeration date
07/01/2005
Last updated
08/12/2013
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