Organization
PRISM ORAL SURGERY & IMPLANTS OF SUMMIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN KIM LAU DDS (CEO, SURGEON)
(201) 741-2217
Entity
Organization
Contact information
Practice address
55 WOODLAND AVE, SUMMIT, NJ 07901-2225
(201) 741-2217
Mailing address
55 WOODLAND AVE, SUMMIT, NJ 07901-2225
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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