Organization
OLD BRIDGE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVI WEISFOGEL DDS (PRESIDENT)
(732) 257-5600
Entity
Organization
Contact information
Practice address
30 STATE ROUTE 18, OLD BRIDGE, NJ 08857-1420
(732) 257-5600
Mailing address
30 STATE ROUTE 18, OLD BRIDGE, NJ 08857-1420
(732) 257-5600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI20783
NJ
Other
Enumeration date
12/23/2011
Last updated
10/03/2012
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