Fresh Dental INC

NPI #1104490390 in Voorhees, New Jersey

Provider Information

NPI Number: 1104490390
Entity Type: Organization
Organization Name: Fresh Dental INC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 13, 2021
Last Updated: May 13, 2021

Practice Location

Address: 910 HADDONFIELD BERLIN RD UNIT 8
City: Voorhees
State: New Jersey
ZIP Code: 08043-3503
Phone: (856) 998-1900

Authorized Official

Name: HUNG LUONG, DDS
Title: OWNER/DENTIST
Phone: (267) 357-7119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Clinic/Center - Dental — Dental	261QD0000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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