Organization
EASTERN ORTHODONTIC ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SEGALL D.M.D (DIRECTOR OF ORTHODONTICS)
(732) 750-2730
Entity
Organization
Contact information
Practice address
1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390
(732) 750-2730
(732) 636-1844
Mailing address
1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
09744
NJ
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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