Organization
OLD BRIDGE DENTAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORDECAI LIECHTUNG D.M.D. (DENTIST)
(732) 257-5600
Entity
Organization
Contact information
Practice address
30 STATE HIGHWAY 18, OLD BRIDGE, NJ 08857
(732) 257-5600
(732) 651-1454
Mailing address
30 STATE HIGHWAY 18, OLD BRIDGE, NJ 08857
(732) 257-5600
(732) 651-1454
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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