| Acorn Dental Sleep Medicine Centers Limited Liability Company | |
|
100 Centre Blvd Suite J Marlton NJ 08053-4128 | |
| (856) 983-0060 | |
| (856) 983-3356 |
| Full Name | Acorn Dental Sleep Medicine Centers Limited Liability Company |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 100 Centre Blvd, Marlton, New Jersey |
| Authorized Official Name and Position | Frederick R Van Istendal (OWNER) |
| Authorized Official Contact | 8569830060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acorn Dental Sleep Medicine Centers Limited Liability Company 100 Centre Blvd Suite J Marlton NJ 08053-4128 Ph: (856) 983-0060 | Acorn Dental Sleep Medicine Centers Limited Liability Company 100 Centre Blvd Suite J Marlton NJ 08053-4128 Ph: (856) 983-0060 |
| NPI Number | 1750783585 |
|---|---|
| Provider Enumeration Date | 09/24/2014 |
| Last Update Date | 09/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750783585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI00903200 (New Jersey) | Primary |
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