Organization · Type 2 NPI

Shore Oral Maxillo Surgery Group PA

Oral and Maxillofacial Surgery (Dentist) · Lakewood, NJ

NPI number 1619104015 Active

About NPI 1619104015

Shore Oral Maxillo Surgery Group PA's National Provider Identifier is 1619104015, issued on Jun 12, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lakewood, NJ. The record was last updated on Jun 12, 2009.