Organization
ADVANCED DIGITAL DENTIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIZABETH SLOANE D.M.D. (SOLE MEMBER)
(908) 725-7640
Entity
Organization
Contact information
Practice address
79 W HIGH ST, SOMERVILLE, NJ 08876-2114
(908) 725-7640
Mailing address
79 W HIGH ST, SOMERVILLE, NJ 08876-2114
(908) 725-7640
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI01407600
NJ
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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