| Dentistry For Children, P.a. | |
|
870 River Ave Lakewood NJ 08701-5220 | |
| (732) 240-3355 | |
| Not Available |
| Full Name | Dentistry For Children, P.a. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 870 River Ave, Lakewood, New Jersey |
| Authorized Official Name and Position | Van Phi Le (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4847872946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children, P.a. 200 Willowbrook Ln Ste 220 West Chester PA 19382-5697 Ph: (610) 500-2042 | Dentistry For Children, P.a. 870 River Ave Lakewood NJ 08701-5220 Ph: (732) 240-3355 |
| NPI Number | 1730330663 |
|---|---|
| Provider Enumeration Date | 10/09/2008 |
| Last Update Date | 02/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730330663 | NPI | - | NPPES |
| 2859009 | Medicaid | NJ | |
| 3618901 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 10202 (New Jersey) | Primary |
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