| Lacjr Facial Surgery, Llc | |
|
10 Drs James Parker Blvd Ste 101 Red Bank NJ 07701-1500 | |
| (973) 943-2245 | |
| Not Available |
| Full Name | Lacjr Facial Surgery, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 10 Drs James Parker Blvd Ste 101, Red Bank, New Jersey |
| Authorized Official Name and Position | Lucio Antonio Cardoso (OWNER/ ORAL & MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 9739432245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacjr Facial Surgery, Llc 10 Drs James Parker Blvd Ste 101 Red Bank NJ 07701-1500 Ph: (732) 426-0552 | Lacjr Facial Surgery, Llc 10 Drs James Parker Blvd Ste 101 Red Bank NJ 07701-1500 Ph: (973) 943-2245 |
| NPI Number | 1497532733 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497532733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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