Organization
PROGRESSIVE ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDEEP SINGLA DDS,MD (OWNER)
(518) 209-0524
Entity
Organization
Contact information
Practice address
168 FRANKLIN TPKE, WALDWICK, NJ 07463-1848
(201) 251-9955
(201) 251-9994
Mailing address
168 FRANKLIN TPKE, WALDWICK, NJ 07463-1848
(201) 251-9955
(201) 251-9994
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
DI102336300
NJ
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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