GARDEN STATE OROFACIAL PAIN LLC

RED BANK, NJ
NPI1477906592
Entity TypeOrganization
Authorized ContactSOWMYA ANANTHAN
Member
732-345-1800
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: NJ  DI24531)
Enumeration Date2016-07-14
Last Update Date2016-07-14
Business Address
GARDEN STATE OROFACIAL PAIN LLC
258 BROAD ST
RED BANK, NJ 07701-2035
Phone number: 732-345-1800
Mailing Address
GARDEN STATE OROFACIAL PAIN LLC
26 RENOIR DR
MONMOUTH JUNCTION, NJ 08852-2543
Phone number: 732-345-1800
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