| Pediatric Dentistry Of South Jersey, P.c. | |
|
3071 E Chestnut Ave Suite D-10 Vineland NJ 08361-7847 | |
| (856) 205-0099 | |
| (856) 205-1633 |
| Full Name | Pediatric Dentistry Of South Jersey, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3071 E Chestnut Ave, Vineland, New Jersey |
| Authorized Official Name and Position | William R Beck (OWNER) |
| Authorized Official Contact | 8562050099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of South Jersey, P.c. 3071 E Chestnut Ave Suite D-10 Vineland NJ 08361-7847 Ph: (856) 205-0099 | Pediatric Dentistry Of South Jersey, P.c. 3071 E Chestnut Ave Suite D-10 Vineland NJ 08361-7847 Ph: (856) 205-0099 |
| NPI Number | 1104009943 |
|---|---|
| Provider Enumeration Date | 12/16/2007 |
| Last Update Date | 12/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104009943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DI16646 (New Jersey) | Primary |
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