Organization
RIDGEWOOD ORAL SURGERY CENTER LLC
Active
Other names
Dental Care Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA JOHNSON (CRO)
(941) 444-0558
Entity
Organization
Contact information
Practice address
385 S MAPLE AVE STE 207, GLEN ROCK, NJ 07452-1545
(201) 444-5355
Mailing address
385 S MAPLE AVE STE 207, GLEN ROCK, NJ 07452-1545
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/21/2026
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