| Vineland Dentofacial Associates | |
|
435 W Landis Ave Vineland NJ 08360-8105 | |
| (856) 691-3220 | |
| (856) 507-9732 |
| Full Name | Vineland Dentofacial Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 435 W Landis Ave, Vineland, New Jersey |
| Authorized Official Name and Position | Robert Henry Carlson (OWNER) |
| Authorized Official Contact | 8565079732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vineland Dentofacial Associates 435 W Landis Ave Vineland NJ 08360-8105 Ph: (856) 691-3220 | Vineland Dentofacial Associates 435 W Landis Ave Vineland NJ 08360-8105 Ph: (856) 691-3220 |
| NPI Number | 1184139669 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 12/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184139669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22D102696200 (New Jersey) | Primary |
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