Southjerseydentistry LLC
NPI #1821491317 in Berlin, New Jersey
Provider Information
- NPI Number
- 1821491317
- Entity Type
- Organization
- Organization Name
- Southjerseydentistry LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 29, 2014
- Last Updated
- Sep 29, 2014
Practice Location
- Address
- 368 S WHITE HORSE PIKE
- City
- Berlin
- State
- New Jersey
- ZIP Code
- 08009-1954
- Phone
- (856) 240-0406
Authorized Official
- Name
- MRS. KOSHA SHAH
- Title
- MANAGER
- Phone
- (856) 240-0406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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