Irena Jug-weiss,d.m.d.,l.l.c. | |
115 E Main St Maple Shade NJ 08052-2621 | |
(856) 779-7450 | |
(856) 779-7702 |
Full Name | Irena Jug-weiss,d.m.d.,l.l.c. |
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Speciality | Dentist - General Practice |
Location | 115 E Main St, Maple Shade, New Jersey |
Authorized Official Name and Position | Irena Jug-weiss (DENTIST PROPRIETOR) |
Authorized Official Contact | 8567797450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Irena Jug-weiss,d.m.d.,l.l.c. 115 E Main St Maple Shade NJ 08052-2621 Ph: (856) 779-7450 | Irena Jug-weiss,d.m.d.,l.l.c. 115 E Main St Maple Shade NJ 08052-2621 Ph: (856) 779-7450 |
NPI Number | 1073723888 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 08/02/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073723888 | NPI | - | NPPES |
DI0162910 | Other | NJ | STATE DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DI016291 (New Jersey) | Primary |