| Church Street Family And Cosmetic Dentistry | |
|
817 S Church St Mount Laurel NJ 08054-2503 | |
| (856) 778-2700 | |
| Not Available |
| Full Name | Church Street Family And Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 817 S Church St, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Venetia Zervos (DENTIST/OWNER) |
| Authorized Official Contact | 8567782700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Church Street Family And Cosmetic Dentistry 817 S Church St Mount Laurel NJ 08054-2503 Ph: (856) 778-2700 | Church Street Family And Cosmetic Dentistry 817 S Church St Mount Laurel NJ 08054-2503 Ph: (856) 778-2700 |
| NPI Number | 1801124110 |
|---|---|
| Provider Enumeration Date | 11/24/2009 |
| Last Update Date | 11/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801124110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17105 (New Jersey) | Primary |
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