Organization
BROADWAY ORAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SKOLNICK DMD (CEO)
(201) 858-1400
Entity
Organization
Contact information
Practice address
925 BROADWAY, BAYONNE, NJ 07002-3088
(201) 858-1400
Mailing address
925 BROADWAY, BAYONNE, NJ 07002-3088
(201) 858-1400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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