Organization
ATLANTIC DENTALHEALTHCARE,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMALINGAM VAIDYASELVAN BDS,DDS (PRESIDENT)
(732) 679-8300
Entity
Organization
Contact information
Practice address
28 THROCKMORTON LN, OLD BRIDGE, NJ 08857-2558
(732) 679-8300
(732) 679-8305
Mailing address
28 THROCKMORTON LN, OLD BRIDGE, NJ 08857-2558
(732) 679-8300
(732) 679-8305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18530
NJ
Other
Enumeration date
05/12/2007
Last updated
08/22/2020
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