# MOORESTOWN DENTAL PROFESSIONALS, P.C.

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

## Provider details

- **NPI number:** 1124294632
- **Authorized official:** DR. DONNA M RUSH-ESMAIL DMD (DENTIST/VICE PRESIDENT)
- **Authorized official phone:** (856) 234-4474

## Contact information

- **Practice address:** 517 PLEASANT VALLEY AVE, MOORESTOWN, NJ 08057-3209
- **Practice address phone:** (856) 234-4474
- **Mailing address:** 517 PLEASANT VALLEY AVE, MOORESTOWN, NJ 08057-3209
- **Mailing address phone:** (856) 234-4474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI02023100 | NJ | Yes |
| 122300000X | Dentist | DI020236400 | NJ | — |

## Other

- **Enumeration date:** 05/05/2008
- **Last updated:** 05/05/2008