Organization
VINELAND ORAL SURGEONS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE G WILLIAMS (PRACTICE MANAGER)
(856) 692-8300
Entity
Organization
Contact information
Practice address
1318 S MAIN RD, BLDG 4 SUITE B, VINELAND, NJ 08360-6516
(856) 692-8300
(856) 692-9229
Mailing address
1318 S MAIN RD, BLDG 4 SUITE B, VINELAND, NJ 08360-6516
(856) 692-8300
(856) 692-9229
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2635607
—
NJ
Enumeration date
12/22/2006
Last updated
08/22/2014
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