Organization
JR DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LON J ROSEN DDS (SOLE MEMBER)
(201) 960-5790
Entity
Organization
Contact information
Practice address
8 BALDWIN AVE, #2B, JERSEY CITY, NJ 07304-3154
(201) 432-6000
(973) 669-0551
Mailing address
8 BALDWIN AVE, #2B, JERSEY CITY, NJ 07304-3154
(201) 432-6000
(973) 669-0551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01439000
NJ
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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