Organization
MADISON DENTAL CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WAKSLAK DDS (PRESIDENT)
(732) 370-4204
Entity
Organization
Contact information
Practice address
402 W COUNTY LINE RD, LAKEWOOD, NJ 08701-1211
(732) 370-4204
Mailing address
402 W COUNTY LINE RD, LAKEWOOD, NJ 08701-1211
(732) 370-4204
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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