Advanced Dental Of Woolwich

NPI 1144595356 - Dentist - 1223P0700X

NPI Details
NPI 1144595356
Enumeration Date 03/21/2012
Last Updated 03/21/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LADERRICK LADERRICK
Position OWNER
Phone (856) 832-4480
Fax
Practice Location
1630 RT 322
SUITE F
WOOLWICH NJ, 08085, US
Phone (856) 832-4480
Fax
Business Location
1630 RT 322
SUITE F
WOOLWICH NJ, 08085, US
Phone (856) 832-4480
Fax
Toxanomy
Taxonomy Code 1223P0700X
License State New Jersey
License Number 22DIO2196800
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According to our database, Advanced Dental Of Woolwich NPI is 1144595356, taxonomy code is 1223P0700X and license number is 22DIO2196800, license state is located at New Jersey. Advanced Dental Of Woolwich physically located at 1630 Rt 322, Woolwich NJ, 08085. NPI Number 1033115704 has the healthcare provider type.

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1144595356 NPI number is provided on an as is basis without warranty of any kind. 1144595356 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Dental Of Woolwich are for informational purposes only.