Organization
LACJR FACIAL SURGERY, LLC
Active
Other names
Cardoso Cosmetic Center for Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCIO ANTONIO CARDOSO JR. DDS, MD (OWNER/ ORAL & MAXILLOFACIAL SURGEON)
(973) 943-2245
Entity
Organization
Contact information
Practice address
10 DRS JAMES PARKER BLVD STE 101, RED BANK, NJ 07701-1500
(973) 943-2245
Mailing address
10 DRS JAMES PARKER BLVD STE 101, RED BANK, NJ 07701-1500
(732) 426-0552
(732) 426-0553
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/21/2024
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