| Knickerbocker Oral And Facial Surgery, Llc | |
|
300 Knickerbocker Rd Suite 2000 Cresskill NJ 07626-1350 | |
| (973) 900-1829 | |
| Not Available |
| Full Name | Knickerbocker Oral And Facial Surgery, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 300 Knickerbocker Rd, Cresskill, New Jersey |
| Authorized Official Name and Position | Doron Ringler (OWNER) |
| Authorized Official Contact | 9739001829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Knickerbocker Oral And Facial Surgery, Llc 110 Christie St Tenafly NJ 07670-1604 Ph: () - | Knickerbocker Oral And Facial Surgery, Llc 300 Knickerbocker Rd Suite 2000 Cresskill NJ 07626-1350 Ph: (973) 900-1829 |
| NPI Number | 1104267707 |
|---|---|
| Provider Enumeration Date | 07/11/2013 |
| Last Update Date | 07/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104267707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 22DI02376000 (New Jersey) | Primary |
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