Organization
OAK RIDGE FAMILY DENTAL LAKESIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS MERWIN DDS (OWNER)
(973) 663-1174
Entity
Organization
Contact information
Practice address
174 EDISON RD, LAKE HOPATCONG, NJ 07849-2217
(973) 663-1174
(973) 663-9138
Mailing address
174 EDISON RD, LAKE HOPATCONG, NJ 07849-2217
(973) 663-1174
(973) 663-9138
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
02327602
NJ
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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