Organization
SHELTON ORAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA SHELTON (MANAGER)
(973) 621-6678
Entity
Organization
Contact information
Practice address
573 MARTIN LUTHER KING BLVD, NEWARK, NJ 07102
(973) 621-6678
(973) 622-1710
Mailing address
573 MARTIN LUTHER KING BLVD, NEWARK, NJ 07102
(973) 621-6678
(973) 622-1710
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
08689
NJ
Other
Enumeration date
02/26/2007
Last updated
09/25/2007
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