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Organization

ORANGE DENTAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SALVATORE PAVONE DMD (PRESIDENT)
(973) 676-5310
Entity
Organization

Contact information

Practice address
85 S HARRISON ST, SUITE 103, EAST ORANGE, NJ 07018-1700
(973) 676-5310
(973) 676-5350
Mailing address
85 S HARRISON ST, SUITE 103, EAST ORANGE, NJ 07018-1700
(973) 676-5310
(973) 676-5350

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23653
NJ

Other

Enumeration date
11/06/2008
Last updated
11/06/2008
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