Organization
MB DENTAL OMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNY LAU DMD (MANAGER)
(973) 808-1228
Entity
Organization
Contact information
Practice address
380 FAIRFIELD RD, FAIRFIELD, NJ 07004-1934
(973) 808-1228
(973) 402-0595
Mailing address
380 FAIRFIELD RD, FAIRFIELD, NJ 07004-1934
(973) 808-1228
(973) 402-0595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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