Deptford Family Dental PA

NPI #1528207198 in Deptford, New Jersey

Provider Information

NPI Number: 1528207198
Entity Type: Organization
Organization Name: Deptford Family Dental PA
Primary Specialty: Dentist
Enumeration Date: Feb 5, 2009
Last Updated: Feb 5, 2009

Practice Location

Address: 2000 CLEMENTS BRIDGE RD
Address 2: SUITE 117 A
City: Deptford
State: New Jersey
ZIP Code: 08096-2011
Phone: (856) 848-6006

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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