Organization
OCEAN PEDIATRIC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISA VELAZQUEZ D.M.D. (PEDIATRIC DENTIST)
(732) 473-1123
Entity
Organization
Contact information
Practice address
368 LAKEHURST RD, SUITE 305, TOMS RIVER, NJ 08755-7339
(732) 473-1123
(732) 473-1133
Mailing address
368 LAKEHURST RD, SUITE 305, TOMS RIVER, NJ 08755-7339
(732) 473-1123
(732) 473-1133
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2131600
NJ
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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