Organization
RICHARD SKJEVELAND, D.D.S, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SKJEVELAND D.D.S (OWNER, PRESIDENT)
(973) 729-1106
Entity
Organization
Contact information
Practice address
328B SPARTA AVE, SPARTA, NJ 07871-1112
(973) 729-1106
(973) 729-8525
Mailing address
328B SPARTA AVE, SPARTA, NJ 07871-1112
(973) 729-1106
(973) 729-8525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02125700
NJ
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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