| Medford Village Dental Care | |
|
25 N Main Street Medford NJ 08055 | |
| (609) 654-0033 | |
| Not Available |
| Full Name | Medford Village Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25 N Main Street, Medford, New Jersey |
| Authorized Official Name and Position | William H Stiles (SHAREHOLDER) |
| Authorized Official Contact | 6096540033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medford Village Dental Care 25 N Main Street Medford NJ 08055 Ph: (609) 654-0033 | Medford Village Dental Care 25 N Main Street Medford NJ 08055 Ph: (609) 654-0033 |
| NPI Number | 1770656969 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770656969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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