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Organization
GREGORY M. SHUPIK, D.M.D., P.A.
Active
Organization
GREGORY M. SHUPIK, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY M. SHUPIK D.M.D. (PERIODONTIST)
(856) 428-4746
Entity
Organization
Contact information
Practice address
1910 MARLTON PIKE E, SUITE 2, CHERRY HILL, NJ 08003-2123
(856) 428-4746
(856) 751-4975
Mailing address
1910 MARLTON PIKE E, SUITE 2, CHERRY HILL, NJ 08003-2123
(856) 428-4746
(856) 751-4975
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI00971800
NJ
Other
Enumeration date
04/19/2007
Last updated
10/18/2011
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