Tri-State Dentistry Deh, LLC

NPI #1871054940 in Egg Harbor Township, New Jersey

Provider Information

NPI Number: 1871054940
Entity Type: Organization
Organization Name: Tri-State Dentistry Deh, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: TRI-STATE DENTISTRY, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 29, 2019
Last Updated: Mar 29, 2019

Practice Location

Address: 6801 BLACK HORSE PIKE STE 1000
City: Egg Harbor Township
State: New Jersey
ZIP Code: 08234-4115
Phone: (856) 418-5436

Authorized Official

Name: SHAMIK DESAI
Title: PARTNER
Phone: (856) 418-5436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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