Main Street Dental - Beckett

NPI #1093245052 in Logan Twp, New Jersey

Provider Information

NPI Number: 1093245052
Entity Type: Organization
Organization Name: Main Street Dental - Beckett
Primary Specialty: Dentist
Enumeration Date: Jun 13, 2017
Last Updated: Jun 13, 2017

Practice Location

Address: 538 BECKETT RD
City: Logan Twp
State: New Jersey
ZIP Code: 08085-1732
Phone: (856) 241-8600

Authorized Official

Name: KEITH DUNOFF
Title: OWNER
Phone: (732) 750-0707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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