SURGERY CENTER OF PENTHOUSE IV is an oral and maxillofacial surgery dentist in West Orange, NJ. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. SURGERY CENTER OF PENTHOUSE IV NPI is 1710060496. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
101 OLD SHORT HILLS ROAD
WEST ORANGE, NJ
ZIP 07052
Phone: (973) 736-1345
Fax: (973) 325-3487
The provider's authorized official is Theodore A Niebloom .
The authorized official title is Doctor Administrative Director and has the following contact phone number (973) 736-7616.
The enumeration date for this NPI number is 10/24/2006 and was last updated on 8/22/2020.