# CHERRY HILL MALL DENTAL LLP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043512643
- **Authorized official:** ANNA A KOROL (OFFICE MANAGER)
- **Authorized official phone:** (856) 488-1923

## Contact information

- **Practice address:** 2000 ROUTE 38, SUITE 2010, CHERRY HILL, NJ 08002-2100
- **Practice address phone:** (856) 488-1923
- **Practice address fax:** (856) 488-1926
- **Mailing address:** 2000 ROUTE 38, SUITE 2010, CHERRY HILL, NJ 08002-2100
- **Mailing address phone:** (856) 488-1923
- **Mailing address fax:** (856) 488-1926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02139700 | NJ | Yes |

## Other

- **Enumeration date:** 12/02/2010
- **Last updated:** 12/02/2010