Organization
NORTH JERSEY LASER PERIODONTICS
Active
Other names
Middlesex Periodontics & Dental Implants, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL REICH (OWNER)
(732) 257-7300
Entity
Organization
Contact information
Practice address
A3 CORNWALL DR, EAST BRUNSWICK, NJ 08816-3352
(732) 257-7300
Mailing address
139 WILBUR RD, BERGENFIELD, NJ 07621-4036
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI01947900
NJ
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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