Organization
WARREN ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, LLC
Active
Other names
Warren Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SULLIVAN (OFFICE MANAGER)
(908) 222-7922
Entity
Organization
Contact information
Practice address
58 MOUNT BETHEL RD, SUITE 202, WARREN, NJ 07059-2654
(908) 222-7922
(908) 222-7923
Mailing address
58 MOUNT BETHEL RD, SUITE 202, WARREN, NJ 07059-2654
(908) 222-7922
(908) 222-7923
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
02036700
NJ
Other
Enumeration date
07/21/2011
Last updated
02/13/2017
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