Organization · Type 2 NPI

Riverside Oral Surgery - Warren

Oral and Maxillofacial Surgery (Dentist) · Warren, NJ

NPI number 1356080170 Active

Practice location

65 Mountain Blvd Ext Ste 106
Warren, NJ 07059-5658

Mailing address

130 Kinderkamack Rd Ste 204
River Edge, NJ 07661-1931

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1356080170

Riverside Oral Surgery - Warren's National Provider Identifier is 1356080170, issued on May 31, 2022. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Warren, NJ. The record was last updated on May 31, 2022.