Organization
PROFESSIONAL ORAL SURGERY ALLIANCE OF NEW JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN HOWARD MA (CREDENTIALING SPECIALIST)
(757) 576-5479
Entity
Organization
Contact information
Practice address
1530 PALISADE AVE, FORT LEE, NJ 07024-5471
(201) 585-8282
Mailing address
11 S MILL ST, NEW CASTLE, PA 16101-3680
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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