Organization · Type 2 NPI
North Jersey Laser Periodontics
Dental Clinic/Center · East Brunswick, NJ
NPI number
1790077097
Active
Practice location
A3 Cornwall Dr
East Brunswick, NJ 08816-3352
Mailing address
139 Wilbur Rd
Bergenfield, NJ 07621-4036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 22DI01947900 (NJ) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1790077097
North Jersey Laser Periodontics's National Provider Identifier is 1790077097, issued on May 5, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in East Brunswick, NJ. The record was last updated on May 5, 2011.