| Kelner Periodontics | |
|
1119 Raritan Rd Clark NJ 07066 | |
| (908) 753-4427 | |
| (908) 756-7019 |
| Full Name | Kelner Periodontics |
|---|---|
| Speciality | Dentist |
| Location | 1119 Raritan Rd, Clark, New Jersey |
| Authorized Official Name and Position | Danielle B. Kelner (OWNER) |
| Authorized Official Contact | 7323829090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelner Periodontics 1119 Raritan Rd Clark NJ 07066 Ph: (732) 382-9090 | Kelner Periodontics 1119 Raritan Rd Clark NJ 07066 Ph: (908) 753-4427 |
| NPI Number | 1396096855 |
|---|---|
| Provider Enumeration Date | 09/25/2012 |
| Last Update Date | 09/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396096855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22D102321200 (New Jersey) | Primary |
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Frank J Pecoraro Dds Pa Richard M Kelner Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1119 Raritan Rd, Suite 1, Clark, NJ 07066 Phone: 732-382-9090 Fax: 732-396-1527 | |
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