Southjerseydentistry Llc | |
368 S White Horse Pike Berlin NJ 08009-1954 | |
(856) 240-0406 | |
Not Available |
Full Name | Southjerseydentistry Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 368 S White Horse Pike, Berlin, New Jersey |
Authorized Official Name and Position | Kosha Shah (MANAGER) |
Authorized Official Contact | 8562400406 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southjerseydentistry Llc 368 S White Horse Pike Berlin NJ 08009-1954 Ph: (856) 240-0406 | Southjerseydentistry Llc 368 S White Horse Pike Berlin NJ 08009-1954 Ph: (856) 240-0406 |
NPI Number | 1821491317 |
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Provider Enumeration Date | 09/29/2014 |
Last Update Date | 09/29/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821491317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 22DI02287500 (New Jersey) | Primary |
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