Organization
WARREN ORAL & MAXILLOFACIAL SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL PETER SULLIVAN DDS (ORAL SURGEON/ PARTNER)
(908) 222-7922
Entity
Organization
Contact information
Practice address
31 MOUNTAIN BLVD BLDG T, WARREN, NJ 07059-5648
(908) 222-7922
(908) 222-7923
Mailing address
31 MOUNTAIN BLVD BLDG T, WARREN, NJ 07059-5648
(908) 222-7922
(908) 222-7923
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
02036700
NJ
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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