| Rancocas Dental Associates, Llc | |
|
620 Beverly Rancocas Rd Willingboro NJ 08046-3736 | |
| (609) 877-1818 | |
| (609) 877-0825 |
| Full Name | Rancocas Dental Associates, Llc |
|---|---|
| Speciality | Dentist |
| Location | 620 Beverly Rancocas Rd, Willingboro, New Jersey |
| Authorized Official Name and Position | Charles J Rose (MANAGING MEMBER) |
| Authorized Official Contact | 8569049946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rancocas Dental Associates, Llc 620 Beverly Rancocas Rd Willingboro NJ 08046-3736 Ph: (609) 877-1818 | Rancocas Dental Associates, Llc 620 Beverly Rancocas Rd Willingboro NJ 08046-3736 Ph: (609) 877-1818 |
| NPI Number | 1710217500 |
|---|---|
| Provider Enumeration Date | 12/30/2009 |
| Last Update Date | 12/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710217500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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