Perio Care Spa, Pc | |
1050 Kings Hwy N Ste 104 Cherry Hill NJ 08034-1909 | |
(856) 755-0992 | |
Not Available |
Full Name | Perio Care Spa, Pc |
---|---|
Speciality | Dentist - Periodontics |
Location | 1050 Kings Hwy N Ste 104, Cherry Hill, New Jersey |
Authorized Official Name and Position | Ira L Eisenstein (OWNER) |
Authorized Official Contact | 8567550992 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Perio Care Spa, Pc 1050 Kings Hwy N Ste 104 Cherry Hill NJ 08034-1909 Ph: (856) 755-0992 | Perio Care Spa, Pc 1050 Kings Hwy N Ste 104 Cherry Hill NJ 08034-1909 Ph: (856) 755-0992 |
NPI Number | 1902962632 |
---|---|
Provider Enumeration Date | 12/28/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902962632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 22D101115000 (New Jersey) | Primary |
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