| Lumina Dental Services Llc | |
|
105 Medford-evesboro Rd B Marlton NJ 08053 | |
| (856) 985-0330 | |
| Not Available |
| Full Name | Lumina Dental Services Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 105 Medford-evesboro Rd B, Marlton, New Jersey |
| Authorized Official Name and Position | Roxana Larisa Maciejeski (DENTIST) |
| Authorized Official Contact | 7026003964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumina Dental Services Llc 2412 Chestnut Hill Dr Cinnaminson NJ 08077-3623 Ph: (702) 600-3964 | Lumina Dental Services Llc 105 Medford-evesboro Rd B Marlton NJ 08053 Ph: (856) 985-0330 |
| NPI Number | 1770316382 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770316382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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