Organization
LIFE OK DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. USHA DESAI D.D.S. (OWNER)
(973) 599-0068
Entity
Organization
Contact information
Practice address
23 REYNOLDS AVE, PARSIPPANY, NJ 07054-3323
(973) 887-3000
(973) 887-3001
Mailing address
23 REYNOLDS AVE, PARSIPPANY, NJ 07054-3323
(973) 887-3000
(973) 887-3001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI012146800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127841
—
NJ
Enumeration date
01/07/2013
Last updated
09/23/2016
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