Organization
LAKEWOOD KIDS AND ADOLESCENT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASSI FIGDOR DDS (OWNER)
(917) 613-1934
Entity
Organization
Contact information
Practice address
1776 AVENUE OF THE STATES, SUITE 105, LAKEWOOD, NJ 08701
(917) 613-1934
Mailing address
5510 17TH AVE, BROOKLYN, NY 11204-1814
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NJ
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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