Organization
LAKE FAMILY DENTISTRY PC
Active
Other names
Lake Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANISH QADRI DMD (PRESIDENT)
(732) 388-2822
Entity
Organization
Contact information
Practice address
296 LAKE AVE, COLONIA, NJ 07067-1201
(732) 388-2822
(732) 388-3115
Mailing address
296 LAKE AVE, COLONIA, NJ 07067-1201
(732) 388-2822
(732) 388-3115
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02351300
NJ
Other
Enumeration date
01/21/2012
Last updated
01/26/2015
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