| Long Branch Dental Center | |
|
9 Memorial Pkwy Second Floor A Long Branch NJ 07740-6701 | |
| (732) 229-4434 | |
| (732) 229-4476 |
| Full Name | Long Branch Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9 Memorial Pkwy, Long Branch, New Jersey |
| Authorized Official Name and Position | Hector F Morales Medina (PRESIDENT) |
| Authorized Official Contact | 7322294434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Branch Dental Center 9 Memorial Pkwy Second Floor A Long Branch NJ 07740-6701 Ph: (732) 229-4434 | Long Branch Dental Center 9 Memorial Pkwy Second Floor A Long Branch NJ 07740-6701 Ph: (732) 229-4434 |
| NPI Number | 1992891865 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992891865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19674 (New Jersey) | Primary |
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