# GREENTREE DENTAL DRS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** All 5 Dental Specialties
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144645433
- **Authorized official:** DR. DAVID EDENBAUM DMD (PARTNER)
- **Authorized official phone:** (844) 255-3483

## Contact information

- **Practice address:** 1000 LINCOLN DR E, SUITE 3A, MARLTON, NJ 08053-1566
- **Practice address phone:** (844) 255-3483
- **Mailing address:** 9 E MAIN ST, SUITE C, MOORESTOWN, NJ 08057-3382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI017491 | NJ | Yes |

## Other

- **Enumeration date:** 02/24/2014
- **Last updated:** 02/24/2014
