Gsrb
NPI #1467993576 in Pitman, New Jersey
Provider Information
- NPI Number
- 1467993576
- Entity Type
- Organization
- Organization Name
- Gsrb
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 9, 2017
- Last Updated
- Mar 9, 2017
Practice Location
- Address
- 102 PITMAN AVE
- City
- Pitman
- State
- New Jersey
- ZIP Code
- 08071-1572
- Phone
- (856) 589-5737
Authorized Official
- Name
- MRS. RAFAELA AGOSTO
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (267) 334-0082
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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