Riverside Pediatric Dentistry and Orthodontics
NPI #1780474494 in Medford, New Jersey
Provider Information
- NPI Number
- 1780474494
- Entity Type
- Organization
- Organization Name
- Riverside Pediatric Dentistry and Orthodontics
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- May 7, 2025
- Last Updated
- Oct 20, 2025
Practice Location
- Address
- 30 JACKSON RD STE B2
- City
- Medford
- State
- New Jersey
- ZIP Code
- 08055-9280
- Phone
- (609) 947-3526
Authorized Official
- Name
- DR. ASHLEY LEBAK, DMD
- Title
- PEDIATRIC DENTIST
- Phone
- (609) 947-3526
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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