Organization
PEDIATRIC DENTISTRY AND ORTHODONTICS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA JOHNSON (CRO)
(941) 444-0558
Entity
Organization
Contact information
Practice address
6 PROSPECT ST STE 1A, MIDLAND PARK, NJ 07432-1606
(201) 445-5555
(201) 445-5057
Mailing address
6 PROSPECT ST STE 1A, MIDLAND PARK, NJ 07432-1606
(201) 445-5555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
07/21/2026
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