Organization
ROXBURY PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY ANN MAHER (LICENSING COORDINATOR)
(973) 598-9555
Entity
Organization
Contact information
Practice address
168 ROUTE 10 W, SUCCASUNNA, NJ 07876-1434
(973) 584-7555
Mailing address
168 ROUTE 10 W, SUCCASUNNA, NJ 07876-1434
(973) 584-7555
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02441400
NJ
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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