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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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