# KEITH L. DUNOFF, DMD, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diversified Dental Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447319744
- **Authorized official:** DR. KEITH LAWRENCE DUNOFF D.M.D. (PRESIDENT)
- **Authorized official phone:** (856) 753-1547

## Contact information

- **Practice address:** 339 N ROUTE 73, SUITE 4 WINSLOW PROFESSIONAL BUILDING, BERLIN, NJ 08009-9707
- **Practice address phone:** (856) 753-1547
- **Practice address fax:** (856) 753-1548
- **Mailing address:** 339 N ROUTE 73, SUITE 4 WINSLOW PROFESSIONAL BUILDING, BERLIN, NJ 08009-9707
- **Mailing address phone:** (856) 753-1547
- **Mailing address fax:** (856) 753-1548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI14766 | NJ | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 08/22/2020
