Organization
ADVANCED ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J DEFALCO DDS (OWNER)
(201) 262-2667
Entity
Organization
Contact information
Practice address
270 SPRING VALLEY RD, PARAMUS, NJ 07652-5343
(201) 262-2667
(201) 262-2608
Mailing address
270 SPRING VALLEY RD, PARAMUS, NJ 07652-5343
(201) 262-2667
(201) 262-2608
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
22DI01861300
NJ
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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