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Organization
KELNER PERIODONTICS
Active
Organization
KELNER PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE B. KELNER D.M.D (OWNER)
(732) 382-9090
Entity
Organization
Contact information
Practice address
1119 RARITAN RD, CLARK, NJ 07066
(908) 753-4427
(908) 756-7019
Mailing address
1119 RARITAN RD, CLARK, NJ 07066
(732) 382-9090
(732) 396-1527
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D102321200
NJ
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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