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Organization · General Practice Dentistry · Marlton, NJ

NPI
1487876165
Type
Organization (Type 2)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
22DI01193800 (NJ)
Enumerated
2007-05-03
Last updated
2020-08-22
Practice location
2002a Lincoln Drive West, Greentree Executive Campus
Marlton, NJ 08053
(856) 983-2002

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