Organization
LAFAYETTE DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATRINA MILA G VERENDIA DMD (DIRECTOR)
(908) 367-3283
Entity
Organization
Contact information
Practice address
50 ROUTE 15, LAFAYETTE, NJ 07848
(908) 367-3283
Mailing address
21 MORAN AVE, PRINCETON, NJ 08542-3855
(908) 367-3283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02561500
NJ
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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