Merchant Street Dental LLC

NPI #1801630249 in Audubon, New Jersey

Provider Information

NPI Number: 1801630249
Entity Type: Organization
Organization Name: Merchant Street Dental LLC
Primary Specialty: Meals
Enumeration Date: Jun 20, 2024
Last Updated: Jun 20, 2024

Practice Location

Address: 124 W MERCHANT ST
City: Audubon
State: New Jersey
ZIP Code: 08106-1424
Phone: (908) 930-2848

Authorized Official

Name: DR. RONEN SHOR
Title: OWNER
Phone: (908) 930-2848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Meals	174200000X	Primary

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