Crestwood Family Dental

NPI #1215913900 in Whiting, New Jersey

Provider Information

NPI Number
1215913900
Entity Type
Organization
Organization Name
Crestwood Family Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 15, 2005
Last Updated
Jan 3, 2008

Practice Location

Address
70 LACEY RD
ZIP Code
08759-2931
Phone
(732) 350-7999

Authorized Official

Name
EDWARD POLLER
Title
PRESIDENT
Phone
(732) 914-1039

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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