Organization
DENTAL ARTS 4 TOTS 2 TEENS LLC
Active
Other names
Point Pleasant Dentistry for Children
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE BALDWIN D.M.D (OWNER)
(732) 202-7114
Entity
Organization
Contact information
Practice address
3824 RIVER RD, POINT PLEASANT BORO, NJ 08742-2054
(732) 202-7114
(732) 202-7191
Mailing address
3824 RIVER RD, POINT PLEASANT BORO, NJ 08742-2054
(732) 202-7114
(732) 202-7191
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
220DI02349200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170216
—
NJ
Enumeration date
10/26/2016
Last updated
10/26/2016
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