Organization
JEFFERSON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE GIRALT JR. (OWNER)
(973) 663-0990
Entity
Organization
Contact information
Practice address
706 ROUTE 15 SOUTH, STE.101, LAKE HOPATCONG, NJ 07849
(973) 663-0990
(973) 663-6166
Mailing address
706 RT. 15 SOUTH, STE.101, LAKE HOPATCONG, NJ 07849
(973) 663-0990
(973) 663-6166
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DI18006
NJ
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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