Organization
FAMILY DENTAL PRACTICE OF NEW JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENE OSUALA DMD (OWNER)
(908) 355-7800
Entity
Organization
Contact information
Practice address
560 NEWARK AVE FL 2, ELIZABETH, NJ 07208-3307
(908) 355-7800
(908) 355-7800
Mailing address
560 NEWARK AVE FL 2, ELIZABETH, NJ 07208-3307
(908) 355-7800
(908) 355-7808
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02524500
NJ
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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