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Organization
PITMAN DENTAL INC
Active
Organization
PITMAN DENTAL INC
Active
Other names
Pitman Dental
Organization subpart
No
Provider details
NPI number
Authorized official
HUNG LUONG DDS (OWNER/DENTIST)
(267) 357-7119
Entity
Organization
Contact information
Practice address
107 W JERSEY AVE, PITMAN, NJ 08071-1129
(856) 589-3592
(856) 589-1006
Mailing address
1960 CARDINAL LAKE DR, CHERRY HILL, NJ 08003-2904
(267) 357-7119
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
08/02/2019
Last updated
05/13/2021
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