Organization
EASTERN DENTAL OF LACEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW DUBMAN D.M.D (DIRECTOR)
(609) 693-6066
Entity
Organization
Contact information
Practice address
131 S MAIN ST, FORKED RIVER, NJ 08731-3635
(609) 693-6066
Mailing address
1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
17953
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10967
NJ
Other
Enumeration date
01/08/2007
Last updated
09/11/2025
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