Organization
ACADEMY DENTAL GROUP, PA
Active
Other names
Advanced Cosmetic & Laser Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LEE (OWNER)
(973) 328-0022
Entity
Organization
Contact information
Practice address
4 MARVIN ST, DOVER, NJ 07801-3735
(973) 328-0022
(973) 328-0988
Mailing address
4 MARVIN ST, DOVER, NJ 07801-3735
(973) 328-0022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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