# PLEASANTVILLE DENTAL, LLC

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

## Provider details

- **NPI number:** 1053748004
- **Authorized official:** EDWARD STRANQUIST (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (856) 266-6724

## Contact information

- **Practice address:** 216 S MAIN ST, PLEASANTVILLE, NJ 08232-3028
- **Practice address phone:** (856) 206-9255
- **Practice address fax:** (856) 206-9254
- **Mailing address:** 9 E MAIN ST, SUITE C, MOORESTOWN, NJ 08057-3382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2013
- **Last updated:** 10/07/2013