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Organization
HERITAGE FAMILY DENTAL LLC
Active
Organization
HERITAGE FAMILY DENTAL LLC
Active
Other names
Peter Fam Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER FAM (DOCTOR AND OWNER)
(732) 295-8899
Entity
Organization
Contact information
Practice address
842 ARNOLD AVE, POINT PLEASANT BORO, NJ 08742-2457
(732) 295-8899
Mailing address
842 ARNOLD AVE, POINT PLEASANT BORO, NJ 08742-2457
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI 02331300
NJ
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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