Main Street Dental | |
1 Wheatley Blvd Building K Mullica Hill NJ 08062 | |
(856) 223-0041 | |
(856) 223-0020 |
Full Name | Main Street Dental |
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Speciality | Dentist - General Practice |
Location | 1 Wheatley Blvd, Mullica Hill, New Jersey |
Authorized Official Name and Position | Mark Giorno Giorno (OWNER/DOCTOR) |
Authorized Official Contact | 8562418600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Main Street Dental 1 Wheatley Blvd Building K Mullica Hill NJ 08062 Ph: (856) 223-0041 | Main Street Dental 1 Wheatley Blvd Building K Mullica Hill NJ 08062 Ph: (856) 223-0041 |
NPI Number | 1982841763 |
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Provider Enumeration Date | 01/15/2009 |
Last Update Date | 01/15/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982841763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 018081 (New Jersey) | Primary |
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