Organization
MATAWAN/OLD BRIDGE DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS MICHAEL KELLER D.M.D. (OWNER)
(732) 566-3111
Entity
Organization
Contact information
Practice address
349H MATAWAN RD, MATAWAN, NJ 07747-3929
(732) 566-3111
(732) 566-6308
Mailing address
349H MATAWAN RD, MATAWAN, NJ 07747-3929
(732) 566-3111
(732) 566-6308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09859
NJ
Other
Enumeration date
09/14/2007
Last updated
09/11/2008
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