Organization
CENTER FOR ORAL SURGERY & DENTAL IMPLANTS OF ROSELLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LU (OFFICE MANAGER)
(908) 241-2114
Entity
Organization
Contact information
Practice address
2305 WOOD AVE, ROSELLE, NJ 07203-2939
(908) 241-2114
Mailing address
2305 WOOD AVE, ROSELLE, NJ 07203-2939
(908) 241-2114
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI01712700
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22DI02405816
NJ
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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