Organization
INNOVA DENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY T ROTHSTEIN DMD (DENTIST)
(732) 364-1700
Entity
Organization
Contact information
Practice address
155 S NEW PROSPECT RD, JACKSON, NJ 08527-1734
(732) 364-1700
(732) 364-0870
Mailing address
155 S NEW PROSPECT RD, JACKSON, NJ 08527-1734
(732) 364-1700
(732) 364-0870
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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