| NPI | 1255826939 |
|---|---|
| Doing Business As | RIVERSIDE ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | LISA D BROWN Office Manager 201-487-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI02584805) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2022-09-26 |