# KERI IRVING DMD LLC

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

## Provider details

- **NPI number:** 1164964169
- **Authorized official:** DR. KERI IRVING DMD (MEMBER)
- **Authorized official phone:** (856) 270-2373

## Contact information

- **Practice address:** 615 SALEM AVE, WOODBURY, NJ 08096-3117
- **Practice address phone:** (856) 853-6444
- **Practice address fax:** (856) 853-1062
- **Mailing address:** 615 SALEM AVE, WOODBURY, NJ 08096-3117
- **Mailing address phone:** (856) 853-6444
- **Mailing address fax:** (856) 853-1062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02219204 | NJ | Yes |

## Other

- **Enumeration date:** 11/08/2016
- **Last updated:** 11/08/2016