Organization
EDISON DENTAL 27 PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN MA DDS (PRESIDENT)
(732) 906-8883
Entity
Organization
Contact information
Practice address
2 LINCOLN HWY, STE 400, EDISON, NJ 08820
(732) 906-8883
(732) 906-8885
Mailing address
2 LINCOLN HWY, STE 400, EDISON, NJ 08820
(732) 906-8883
(732) 906-8885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI02122002
NJ
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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