Organization
VANGUARD PERIODONTAL & IMPLANT ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC C WEISS D.M.D. (OWNER)
(973) 992-8600
Entity
Organization
Contact information
Practice address
340 E NORTHFIELD RD, SUITE 2A, LIVINGSTON, NJ 07039-4892
(973) 992-9090
(973) 992-8626
Mailing address
340 E NORTHFIELD RD, SUITE 2A, LIVINGSTON, NJ 07039-4892
(973) 992-8600
(973) 992-8626
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI01807200
NJ
Other
Enumeration date
12/31/2015
Last updated
03/14/2016
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