Orthique Llc | |
1124 E Jersey St Elizabeth NJ 07201-2406 | |
(973) 472-4900 | |
Not Available |
Full Name | Orthique Llc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1124 E Jersey St, Elizabeth, New Jersey |
Authorized Official Name and Position | Michael Ethan Skolnick (OWNER) |
Authorized Official Contact | 9734724900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Orthique Llc 1124 E Jersey St Elizabeth NJ 07201-2406 Ph: (973) 472-4900 | Orthique Llc 1124 E Jersey St Elizabeth NJ 07201-2406 Ph: (973) 472-4900 |
NPI Number | 1518434935 |
---|---|
Provider Enumeration Date | 10/24/2018 |
Last Update Date | 10/24/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518434935 | NPI | - | NPPES |
0302066 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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