Main Street Family Dentistry, PC
NPI #1336506849 in Medford, New Jersey
Provider Information
- NPI Number
- 1336506849
- Entity Type
- Organization
- Organization Name
- Main Street Family Dentistry, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 28, 2016
- Last Updated
- Jan 28, 2016
Practice Location
- Address
- 76 N MAIN ST
- City
- Medford
- State
- New Jersey
- ZIP Code
- 08055-2720
- Phone
- (609) 953-7199
Authorized Official
- Name
- DR. KENNETH S HOOVER, DMD
- Title
- OWNER
- Phone
- (609) 953-7199
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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