Organization
LAKEWOOD DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS GREENFIELD (COMPLIANCE OFFICER)
(215) 422-3647
Entity
Organization
Contact information
Practice address
838 RIVER AVE STE 1, LAKEWOOD, NJ 08701-5279
(732) 363-4477
(732) 905-7085
Mailing address
838 RIVER AVE STE 1, LAKEWOOD, NJ 08701-5279
(732) 363-4477
(732) 905-7085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
12/21/2019
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