Organization
MIDLAND PARK FAMILY DENTISTRY CENTER LLC
Active
Other names
Midland Park Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA JOHNSON (CRO)
(941) 444-0558
Entity
Organization
Contact information
Practice address
662 GODWIN AVE, MIDLAND PARK, NJ 07432-1486
(201) 447-5555
Mailing address
662 GODWIN AVE, MIDLAND PARK, NJ 07432-1486
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
07/21/2026
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