| Northeastern Dentistry At Bellmawr Llc | |
|
815 Creek Road Bellmawr NJ 08031 | |
| (856) 325-0560 | |
| Not Available |
| Full Name | Northeastern Dentistry At Bellmawr Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 815 Creek Road, Bellmawr, New Jersey |
| Authorized Official Name and Position | Sujit Kondapaneni (PRESIDENT) |
| Authorized Official Contact | 8563250560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Dentistry At Bellmawr Llc 218 Summit Rd Mount Laurel NJ 08054-4748 Ph: () - | Northeastern Dentistry At Bellmawr Llc 815 Creek Road Bellmawr NJ 08031 Ph: (856) 325-0560 |
| NPI Number | 1467130666 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 07/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467130666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |