| Metropolitan Craniofacial Center | |
|
101 Old Short Hills Road Penthouse Ii West Orange NJ 07052 | |
| (973) 736-7616 | |
| (973) 325-3487 |
| Full Name | Metropolitan Craniofacial Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 101 Old Short Hills Road, West Orange, New Jersey |
| Authorized Official Name and Position | Theodore A Niebloom (DOCTOR VP) |
| Authorized Official Contact | 9737367616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Craniofacial Center 101 Old Short Hills Road Penthouse Ii West Orange NJ 07052 Ph: (973) 736-7616 | Metropolitan Craniofacial Center 101 Old Short Hills Road Penthouse Ii West Orange NJ 07052 Ph: (973) 736-7616 |
| NPI Number | 1306922422 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 10/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306922422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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