All Star Family Orthodontics | |
3331 Us Highway 9 Old Bridge NJ 08857-2691 | |
(732) 727-6666 | |
Not Available |
Full Name | All Star Family Orthodontics |
---|---|
Speciality | Clinic/center - Dental |
Location | 3331 Us Highway 9, Old Bridge, New Jersey |
Authorized Official Name and Position | Virgil Jason Vives (OWNER) |
Authorized Official Contact | 7327276666 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
All Star Family Orthodontics 3331 Highway 9 N Old Bridge NJ 08857-2691 Ph: (732) 727-6666 | All Star Family Orthodontics 3331 Us Highway 9 Old Bridge NJ 08857-2691 Ph: (732) 727-6666 |
NPI Number | 1417492893 |
---|---|
Provider Enumeration Date | 12/21/2016 |
Last Update Date | 12/21/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417492893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 22D102246000 (New Jersey) | Primary |
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