Organization
KIDS DENTAL OF NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA LAZZARA DDS (DENTIST)
(732) 414-2686
Entity
Organization
Contact information
Practice address
342 MOUNTS CORNER DRIVE, FREEHOLD, NJ 07728
(732) 414-2686
(732) 414-2687
Mailing address
342 MOUNTS CORNER DRIVE, FREEHOLD, NJ 07728
(732) 414-2686
(732) 414-2687
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI01990500
NJ
Other
Enumeration date
02/24/2011
Last updated
03/03/2011
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