| Diversified Dental Services | |
|
339 N Route 73 Suite 4 Winslow Professional Building Berlin NJ 08009-9707 | |
| (856) 753-1547 | |
| (856) 753-1548 |
| Full Name | Diversified Dental Services |
|---|---|
| Speciality | Dentist |
| Location | 339 N Route 73, Berlin, New Jersey |
| Authorized Official Name and Position | Keith Lawrence Dunoff (PRESIDENT) |
| Authorized Official Contact | 8567531547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Dental Services 339 N Route 73 Suite 4 Winslow Professional Building Berlin NJ 08009-9707 Ph: (856) 753-1547 | Diversified Dental Services 339 N Route 73 Suite 4 Winslow Professional Building Berlin NJ 08009-9707 Ph: (856) 753-1547 |
| NPI Number | 1447319744 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447319744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI14766 (New Jersey) | Primary |
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