Organization
NEW JERSEY CENTER FOR AESTHETIC AND RESTORATIVE DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED EISEN D.M.D. (OWNER)
(973) 766-1532
Entity
Organization
Contact information
Practice address
101 OLD SHORT HILLS RD, SUITE 514, WEST ORANGE, NJ 07052-1000
(973) 766-1532
(973) 766-1529
Mailing address
101 OLD SHORT HILLS RD, SUITE 514, WEST ORANGE, NJ 07052-1000
(973) 766-1532
(973) 766-1529
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02192000
NJ
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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