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Organization

STEPHEN JAEGER DMD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VALERIE HAMILTON (DIRECTOR OF CONTRACTING)
(315) 454-6000
Entity
Organization

Contact information

Practice address
799 US HIGHWAY 1, ISELIN, NJ 08830
(732) 362-2583
Mailing address
PO BOX 70887 SUITE A, CLEVELAND, OH 44190-0001

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/02/2023
Last updated
06/05/2024
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