Cumberland Periodontal Associates, P.a. | |
1077 E. Chestnut Ave. Vineland NJ 08360 | |
(856) 696-3990 | |
(856) 696-2121 |
Full Name | Cumberland Periodontal Associates, P.a. |
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Speciality | Dentist |
Location | 1077 E. Chestnut Ave., Vineland, New Jersey |
Authorized Official Name and Position | Marc David Stein (OWNER) |
Authorized Official Contact | 8566963990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cumberland Periodontal Associates, P.a. 1077 E. Chestnut Ave. Vineland NJ 08360 Ph: (856) 696-3990 | Cumberland Periodontal Associates, P.a. 1077 E. Chestnut Ave. Vineland NJ 08360 Ph: (856) 696-3990 |
NPI Number | 1518115377 |
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Provider Enumeration Date | 09/05/2008 |
Last Update Date | 09/05/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518115377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | NJ11102 (New Jersey) | Primary |
1223P0300X | Dentist - Periodontics | 2068 (New Jersey) | Secondary |
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