| Alpha Dental Spa Llc | |
|
2103 Branch Pike Ste 16 Cinnaminson NJ 08077-3044 | |
| (856) 829-1989 | |
| (856) 829-5014 |
| Full Name | Alpha Dental Spa Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2103 Branch Pike Ste 16, Cinnaminson, New Jersey |
| Authorized Official Name and Position | David S Cho (OWNER) |
| Authorized Official Contact | 8568291989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Dental Spa Llc 2103 Branch Pike Ste 16 Cinnaminson NJ 08077-3044 Ph: (856) 829-1989 | Alpha Dental Spa Llc 2103 Branch Pike Ste 16 Cinnaminson NJ 08077-3044 Ph: (856) 829-1989 |
| NPI Number | 1518403393 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 01/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518403393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI01956704 (New Jersey) | Primary |
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