Main Street Dental - Deptford

NPI #1629508684 in Deptford, New Jersey

Provider Information

NPI Number: 1629508684
Entity Type: Organization
Organization Name: Main Street Dental - Deptford
Primary Specialty: Dentist
Enumeration Date: Jun 13, 2017
Last Updated: Jun 13, 2017

Practice Location

Address: 1375 DELSEA DR
City: Deptford
State: New Jersey
ZIP Code: 08096-1940
Phone: (856) 848-8787

Authorized Official

Name: KEITH DUNOFF
Title: OWNER
Phone: (732) 750-0707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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