| Garden State Oral Surgery Pa | |
|
265 Baldwin Rd Parsippany NJ 07054-2007 | |
| (973) 335-5252 | |
| Not Available |
| Full Name | Garden State Oral Surgery Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 265 Baldwin Rd, Parsippany, New Jersey |
| Authorized Official Name and Position | John N Kallis (OWNER) |
| Authorized Official Contact | 9733355252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden State Oral Surgery Pa 265 Baldwin Rd Parsippany NJ 07054-2007 Ph: (973) 335-5252 | Garden State Oral Surgery Pa 265 Baldwin Rd Parsippany NJ 07054-2007 Ph: (973) 335-5252 |
| NPI Number | 1063690816 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 02/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063690816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DI15472 (New Jersey) | Primary |
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