Easton Dental Pc

NPI 1083938484 - Dentist - 122300000X

NPI Details
NPI 1083938484
Enumeration Date 03/15/2010
Last Updated 03/15/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name GLENN GLENN
Position OWNER
Phone (732) 914-1039
Fax (732) 914-8472
Practice Location
1144 HOOPER AVE
SUITE 201B
TOMS RIVER NJ, 08753-8361, US
Phone (732) 914-1039
Fax (732) 914-8472
Business Location
2441 NAZARETH RD
STORE 8
EASTON PA, 18045-2743, US
Phone (610) 250-7177
Fax (610) 250-7118
Toxanomy
Taxonomy Code 122300000X
License State Pennsylvania
License Number DS038181
Remove 1083938484 NPI Number
 

According to our database, Easton Dental Pc NPI is 1083938484, taxonomy code is 122300000X and license number is DS038181, license state is located at Pennsylvania. Easton Dental Pc physically located at 1144 Hooper Ave, Toms River NJ, 08753-8361. NPI Number 1033115704 has the healthcare provider type.

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1083938484 NPI number is provided on an as is basis without warranty of any kind. 1083938484 is maintained by the National Plan & Provider Enumeration System. The contents of Easton Dental Pc are for informational purposes only.