Organization
OLD BRIDGE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALED ELDIN DDS (PRESIDENT)
(732) 679-6666
Entity
Organization
Contact information
Practice address
3333 US HIGHWAY 9, OLD BRIDGE, NJ 08857-2691
(732) 679-6666
(732) 679-6676
Mailing address
3333 US HIGHWAY 9, OLD BRIDGE, NJ 08857-2691
(732) 679-6666
(732) 679-6676
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI 21284
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9179242
PROVIDER ID FOR DORAL
NJ
Enumeration date
10/19/2006
Last updated
08/22/2020
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