Moorestown Dental Associates, LLC

NPI #1912237793 in Moorestown, New Jersey

Provider Information

NPI Number: 1912237793
Entity Type: Organization
Organization Name: Moorestown Dental Associates, LLC
Primary Specialty: Dentist
Enumeration Date: Dec 30, 2009
Last Updated: Dec 30, 2009

Practice Location

Address: 110 MARTER AVE
Address 2: SUITE 204
City: Moorestown
State: New Jersey
ZIP Code: 08057-3124
Phone: (856) 727-6453

Authorized Official

Name: CHARLES J ROSE
Title: MANAGING MEMBER
Phone: (856) 904-9946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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