| Vip Dental, Pa | |
|
9002 Lincoln Dr W Suite H Marlton NJ 08053-3204 | |
| (609) 500-3815 | |
| (856) 983-9877 |
| Full Name | Vip Dental, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9002 Lincoln Dr W, Marlton, New Jersey |
| Authorized Official Name and Position | James E Rockwell (OWNER) |
| Authorized Official Contact | 6095003815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Dental, Pa 9002 Lincoln Dr W Suite H Marlton NJ 08053-3204 Ph: (609) 500-3815 | Vip Dental, Pa 9002 Lincoln Dr W Suite H Marlton NJ 08053-3204 Ph: (609) 500-3815 |
| NPI Number | 1760755102 |
|---|---|
| Provider Enumeration Date | 02/15/2012 |
| Last Update Date | 02/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760755102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI01745100 (New Jersey) | Primary |
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