Organization
SHORE ORTHODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD S BOIM D.D.S. (VICE PRESIDENT)
(732) 255-1516
Entity
Organization
Contact information
Practice address
1510 HOOPER AVE, TOMS RIVER, NJ 08753-2228
(732) 255-1516
Mailing address
1510 HOOPER AVE, TOMS RIVER, NJ 08753-2228
(732) 255-1516
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
NJ
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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