Eastern Dental Of Burlington, Llc

NPI 1366590457 - Dentist - 1223G0001X

NPI Details
NPI 1366590457
Enumeration Date 01/08/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL MICHAEL
Position DIRECTOR
Phone (856) 303-0600
Fax
Practice Location
202 ROUTE 130 N
CINNAMINSON NJ, 08077-2840, US
Phone (856) 303-0600
Fax
Business Location
1030 SAINT GEORGES AVE
AVENEL NJ, 07001-1390, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State New Jersey
License Number 20603
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According to our database, Eastern Dental Of Burlington, Llc NPI is 1366590457, taxonomy code is 1223G0001X and license number is 20603, license state is located at New Jersey. Eastern Dental Of Burlington, Llc physically located at 202 Route 130 N, Cinnaminson NJ, 08077-2840. NPI Number 1033115704 has the healthcare provider type.

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1366590457 NPI number is provided on an as is basis without warranty of any kind. 1366590457 is maintained by the National Plan & Provider Enumeration System. The contents of Eastern Dental Of Burlington, Llc are for informational purposes only.