Dentrust Dental, P.a.
NPI #1023724044 in Ft. Dix, New Jersey
Provider Information
- NPI Number
- 1023724044
- Entity Type
- Organization
- Organization Name
- Dentrust Dental, P.a.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 24, 2023
- Last Updated
- Jan 24, 2023
Practice Location
- Address
- 3452 BRODY AVE
- City
- Ft. Dix
- State
- New Jersey
- ZIP Code
- 08640
- Phone
- (609) 342-6467
Authorized Official
- Name
- AMANDA A CLARK
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (609) 342-6467
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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