| Mario J. Canal Dmd, Pc | |
|
285 S Church St Suite 7 Moorestown NJ 08057-2773 | |
| (856) 439-1200 | |
| (856) 439-1106 |
| Full Name | Mario J. Canal Dmd, Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 285 S Church St, Moorestown, New Jersey |
| Authorized Official Name and Position | Mario Canal (OWNER) |
| Authorized Official Contact | 8564391200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mario J. Canal Dmd, Pc 285 S Church St Suite 7 Moorestown NJ 08057-2773 Ph: (856) 439-1200 | Mario J. Canal Dmd, Pc 285 S Church St Suite 7 Moorestown NJ 08057-2773 Ph: (856) 439-1200 |
| NPI Number | 1174638845 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 11/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174638845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 22DI01653900 (New Jersey) | Primary |
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