Medford Children's Dental Center, PC
NPI #1114200912 in Medford, New Jersey
Provider Information
- NPI Number
- 1114200912
- Entity Type
- Organization
- Organization Name
- Medford Children's Dental Center, PC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Sep 28, 2011
- Last Updated
- Oct 26, 2011
Practice Location
- Address
- 520 STOKES RD
- Address 2
- SUITE B 18
- City
- Medford
- State
- New Jersey
- ZIP Code
- 08055-2904
- Phone
- (609) 654-1141
Authorized Official
- Name
- DR. GEORGE DIERNA, D.D.S.
- Title
- OWNER
- Phone
- (609) 654-1141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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