# BOMZE WESTONPEDIATRIC DENTISTRY ASSOCIATES

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

## Provider details

- **NPI number:** 1205920162
- **Authorized official:** DR. DAVID WILLIAM WESTON DDS (PRINCIPAL)
- **Authorized official phone:** (856) 235-0415

## Contact information

- **Practice address:** 9 E. MAIN STREET, MOORESTOWN, NJ 08085
- **Practice address phone:** (856) 235-0415
- **Mailing address:** 9 E. MAIN STREET, MOORESTOWN, NJ 08085
- **Mailing address phone:** (856) 235-0415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22D100942001 | NJ | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020