Main Street Dental - Pennsville
NPI #1013447077 in Pennsville, New Jersey
Provider Information
- NPI Number
- 1013447077
- Entity Type
- Organization
- Organization Name
- Main Street Dental - Pennsville
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 13, 2017
- Last Updated
- Jun 13, 2017
Practice Location
- Address
- 333 N BROADWAY
- City
- Pennsville
- State
- New Jersey
- ZIP Code
- 08070-1247
- Phone
- (856) 678-4400
Authorized Official
- Name
- KEITH DUNOFF
- Title
- OWNER
- Phone
- (856) 678-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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