Organization
MONROE ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN A LEIVA D.M.D. (ORTHODONTIST/OWNER)
(609) 409-0499
Entity
Organization
Contact information
Practice address
18 CENTRE DR, SUITE 204, MONROE TOWNSHIP, NJ 08831-1564
(609) 409-0499
(609) 409-7499
Mailing address
18 CENTRE DR, SUITE 204, MONROE TOWNSHIP, NJ 08831-1564
(609) 409-0499
(609) 409-7499
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DI017000
NJ
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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