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Organization
COMPASS DENTAL AT MARLTON CROSSING
Active
Organization
COMPASS DENTAL AT MARLTON CROSSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISAN PERELMUT DMD (GENERAL DENTIST)
(856) 596-3737
Entity
Organization
Contact information
Practice address
564 LIPPINCOTT DR, MARLTON, NJ 08053-4810
(856) 596-3737
Mailing address
564 LIPPINCOTT DR, MARLTON, NJ 08053-4810
(856) 596-3737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093236259
PERSONAL NPI
NJ
Enumeration date
08/15/2018
Last updated
08/15/2018
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