Tri-State Dentistry Vde, LLC
NPI #1942761499 in Deptford, New Jersey
Provider Information
- NPI Number
- 1942761499
- Entity Type
- Organization
- Organization Name
- Tri-State Dentistry Vde, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TRI-STATE DENTISTRY, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 27, 2019
- Last Updated
- Mar 29, 2019
Practice Location
- Address
- 2000 CLEMENTS BRIDGE RD STE 10
- City
- Deptford
- State
- New Jersey
- ZIP Code
- 08096-2016
- Phone
- (856) 418-5436
Authorized Official
- Name
- DR. SHAMIK N DESAI, DMD
- Title
- PARTNER
- Phone
- (856) 418-5436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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