Organization
ADVACED DENTAL ASSOCIATES OF SOUTH ORANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN KORETZKY DMD (VICE PRESIDENT)
(973) 763-2940
Entity
Organization
Contact information
Practice address
45 PROSPECT ST, SOUTH ORANGE, NJ 07079-2100
(973) 763-2940
(973) 763-0906
Mailing address
41 WYCKOFF DR, PITTSTOWN, NJ 08867-4235
(973) 763-2940
(973) 763-0906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01951600
NJ
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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