| Deptford Family Dental Pa | |
|
2000 Clements Bridge Rd Suite 117 A Deptford NJ 08096-2011 | |
| (856) 848-6006 | |
| (856) 848-6969 |
| Full Name | Deptford Family Dental Pa |
|---|---|
| Speciality | Dentist |
| Location | 2000 Clements Bridge Rd, Deptford, New Jersey |
| Authorized Official Name and Position | Edward Poller (PRESIDENT) |
| Authorized Official Contact | 7329141039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deptford Family Dental Pa 2000 Clements Bridge Rd Suite 117 A Deptford NJ 08096-2011 Ph: (856) 848-6006 | Deptford Family Dental Pa 2000 Clements Bridge Rd Suite 117 A Deptford NJ 08096-2011 Ph: (856) 848-6006 |
| NPI Number | 1528207198 |
|---|---|
| Provider Enumeration Date | 02/05/2009 |
| Last Update Date | 02/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528207198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI017432 (New Jersey) | Primary |
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