Organization
RIVERSIDE ORAL SURGERY- ENGLEWOOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MICHAEL AUERBACH DDS (OWNER)
(201) 487-6565
Entity
Organization
Contact information
Practice address
300 GRAND AVE STE 102, ENGLEWOOD, NJ 07631-6300
(201) 487-6565
(201) 487-4229
Mailing address
130 KINDERKAMACK RD STE 204, RIVER EDGE, NJ 07661-1931
(201) 487-6565
(201) 487-4229
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
02/23/2021
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