Organization
MICHAEL J BIXBY DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BIXBY DMD (OWNER)
(732) 859-4974
Entity
Organization
Contact information
Practice address
250 MAPLE AVE, RED BANK, NJ 07701-1731
(732) 224-1160
Mailing address
250 MAPLE AVE, RED BANK, NJ 07701-1731
(732) 224-1160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02038600
NJ
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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