Organization
CLIFTON ORAL & MAXILLOFACIAL SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN NICHOLAS GORAB D.M.D. (ORAL SURGEON)
(973) 778-7171
Entity
Organization
Contact information
Practice address
1439 BROAD ST, CLIFTON, NJ 07013-4221
(973) 778-7171
(973) 916-0696
Mailing address
1439 BROAD ST, CLIFTON, NJ 07013-4221
(973) 778-7171
(973) 916-0696
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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