Organization
AMERICAN DENTAL CENTER OF EATONTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT GLASS D.M.D. (OWNER)
(732) 571-8844
Entity
Organization
Contact information
Practice address
67 STATE ROUTE 36, WEST LONG BRANCH, NJ 07764-1432
(732) 571-8844
(732) 571-8800
Mailing address
67 STATE ROUTE 36, WEST LONG BRANCH, NJ 07764-1432
(732) 571-8844
(732) 571-8800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01000400
NJ
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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