| Periodontal Consultants, Pa | |
|
1910 East Marlton Pike The Atrium Suite #2 Cherry Hill NJ 08003 | |
| (856) 428-4746 | |
| (856) 751-3975 |
| Full Name | Periodontal Consultants, Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1910 East Marlton Pike, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Rafaela Agosto (DIRECTOR) |
| Authorized Official Contact | 2673340082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Consultants, Pa 1910 East Marlton Pike The Atrium Suite #2 Cherry Hill NJ 08003 Ph: (856) 428-4746 | Periodontal Consultants, Pa 1910 East Marlton Pike The Atrium Suite #2 Cherry Hill NJ 08003 Ph: (856) 428-4746 |
| NPI Number | 1417502378 |
|---|---|
| Provider Enumeration Date | 08/07/2019 |
| Last Update Date | 08/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417502378 | NPI | - | NPPES |
| 0101051655 | Other | NJ | BUSINESS IDENTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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South Jersey Dental Studio Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 539 Marlton Pike W, Cherry Hill, NJ 08002 Phone: 856-406-6570 | |
Lakeview Dental Care Of Cherry Hill Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Marlton Pike E, Cherry Hill, NJ 08034 Phone: 856-424-3335 Fax: 856-424-8753 | |
Gregory M. Shupik, D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 Marlton Pike E, Suite 2, Cherry Hill, NJ 08003 Phone: 856-428-4746 Fax: 856-751-4975 | |
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