Organization
CEDAR GROVE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CHUSTCKIE DMD (PARTNER)
(732) 271-1220
Entity
Organization
Contact information
Practice address
120 CEDAR GROVE LN, SOMERSET, NJ 08873-6462
(732) 271-1220
Mailing address
120 CEDAR GROVE LN, SOMERSET, NJ 08873-6462
(732) 271-1220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15057
NJ
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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