Organization
SUMMIT DENTAL GROUP RIVERDALE LLC
Active
Other names
Summit Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LORINO D.M.D. (MEMBER/OWNER)
(973) 342-1233
Entity
Organization
Contact information
Practice address
92 STATE RT 23, RIVERDALE, NJ 07457-1203
(201) 891-7400
Mailing address
860 MEADOW LN, FRANKLIN LAKES, NJ 07417-1112
(973) 342-1233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02140400
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22DI02152600
NJ
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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