Fox Meadow Cosmetic & Family Dental Assoc Pa

NPI 1154437614 - Clinic/Center - 261QD0000X

NPI Details
NPI 1154437614
Enumeration Date 08/21/2006
Last Updated 07/21/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOLLY S JOLLY
Position PRESIDENT
Phone (856) 985-1400
Fax (856) 985-1411
Practice Location
108 CENTRE BLVD STE G
SUITE G
MARLTON NJ, 08053-4132, US
Phone (856) 985-1400
Fax (856) 985-1411
Business Location
108 CENTRE BLVD STE G
SUITE G
MARLTON NJ, 08053-4132, US
Phone (856) 985-1400
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State New Jersey
License Number DI16582
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According to our database, Fox Meadow Cosmetic & Family Dental Assoc Pa NPI is 1154437614, taxonomy code is 261QD0000X and license number is DI16582, license state is located at New Jersey. Fox Meadow Cosmetic & Family Dental Assoc Pa physically located at 108 Centre Blvd Ste G, Marlton NJ, 08053-4132. NPI Number 1033115704 has the healthcare provider type.

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1154437614 NPI number is provided on an as is basis without warranty of any kind. 1154437614 is maintained by the National Plan & Provider Enumeration System. The contents of Fox Meadow Cosmetic & Family Dental Assoc Pa are for informational purposes only.