| Heritage Dental Llc | |
|
5 E Jimmie Leeds Rd Galloway NJ 08205-9705 | |
| (609) 646-3890 | |
| Not Available |
| Full Name | Heritage Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5 E Jimmie Leeds Rd, Galloway, New Jersey |
| Authorized Official Name and Position | Elena Dr. Gut (PRACTICE MANAGER) |
| Authorized Official Contact | 6096463890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Dental Llc 5 E Jimmie Leeds Rd Galloway NJ 08205-9705 Ph: (609) 646-3890 | Heritage Dental Llc 5 E Jimmie Leeds Rd Galloway NJ 08205-9705 Ph: (609) 646-3890 |
| NPI Number | 1275208902 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 08/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275208902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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