| Keri Irving Dmd Llc | |
|
615 Salem Ave Woodbury NJ 08096-3117 | |
| (856) 853-6444 | |
| (856) 853-1062 |
| Full Name | Keri Irving Dmd Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 615 Salem Ave, Woodbury, New Jersey |
| Authorized Official Name and Position | Keri Irving (MEMBER) |
| Authorized Official Contact | 8562702373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keri Irving Dmd Llc 615 Salem Ave Woodbury NJ 08096-3117 Ph: (856) 853-6444 | Keri Irving Dmd Llc 615 Salem Ave Woodbury NJ 08096-3117 Ph: (856) 853-6444 |
| NPI Number | 1164964169 |
|---|---|
| Provider Enumeration Date | 11/08/2016 |
| Last Update Date | 11/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164964169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02219204 (New Jersey) | Primary |
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