| Main Street Dental - Deptford | |
|
1375 Delsea Dr Deptford NJ 08096-1940 | |
| (856) 848-8787 | |
| Not Available |
| Full Name | Main Street Dental - Deptford |
|---|---|
| Speciality | Dentist |
| Location | 1375 Delsea Dr, Deptford, New Jersey |
| Authorized Official Name and Position | Keith Dunoff (OWNER) |
| Authorized Official Contact | 7327500707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental - Deptford 1375 Delsea Dr Deptford NJ 08096-1940 Ph: () - | Main Street Dental - Deptford 1375 Delsea Dr Deptford NJ 08096-1940 Ph: (856) 848-8787 |
| NPI Number | 1629508684 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 06/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629508684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Main Street Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1375 Delsea Dr, Deptford, NJ 08096 Phone: 856-848-8787 | |
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