Organization
ELE-DENT PEDIATRIC DENTISTRY II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILAN M PATEL (MEMBER)
(609) 373-5767
Entity
Organization
Contact information
Practice address
505 STILLWELLS CORNER RD, UNIT C-1, FREEHOLD, NJ 07728-2965
(732) 780-3300
Mailing address
5 LENAPE CT, CRANBURY, NJ 08512-2613
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DI02544800
NJ
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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