Organization
PISCATAWAY DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALED ELDIN DDS (OWNER)
(732) 679-6666
Entity
Organization
Contact information
Practice address
1315 STELTON RD, PISCATAWAY, NJ 08854-5265
(732) 985-5600
Mailing address
3333 ROUTE 9 N, OLD BRIDGE, NJ 08857-2691
(732) 679-6666
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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