| Shore Pediatric Dental Group | |
|
152 Broad St Red Bank NJ 07701-2046 | |
| (732) 842-5577 | |
| (732) 842-8253 |
| Full Name | Shore Pediatric Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 152 Broad St, Red Bank, New Jersey |
| Authorized Official Name and Position | William H Lieberman (OWNER) |
| Authorized Official Contact | 7328425577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Pediatric Dental Group 152 Broad St Red Bank NJ 07701-2046 Ph: (732) 842-5577 | Shore Pediatric Dental Group 152 Broad St Red Bank NJ 07701-2046 Ph: (732) 842-5577 |
| NPI Number | 1730114232 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 12/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730114232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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