Organization
ADVANCED DENTAL GROUP OF LONG BRANCH PC
Active
Other names
Jersey Shore Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS OH (OWNER)
(201) 509-1032
Entity
Organization
Contact information
Practice address
107 MONMOUTH RD STE 107, WEST LONG BRANCH, NJ 07764-1021
(201) 509-1032
Mailing address
PO BOX 1118, FORT LEE, NJ 07024-1118
(201) 509-1032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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