Organization
PRESTIGE ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED S ERAKAT DMD, MD (OWNER)
(571) 228-4139
Entity
Organization
Contact information
Practice address
3700 ROUTE 27, SUITE 103, PRINCETON, NJ 08540-9610
(732) 297-7000
(732) 297-3638
Mailing address
3700 ROUTE 27, SUITE 103, PRINCETON, NJ 08540-9610
(732) 297-7000
(732) 297-3638
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI0233870
NJ
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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