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Organization
UPPER DEERFIELD DENTISTRY PROFESSIONAL CORPORATION
Active
Organization
UPPER DEERFIELD DENTISTRY PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DUNFORD (BILLING AND CREDENTIALING MANAGER)
(313) 342-1997
Entity
Organization
Contact information
Practice address
233 LAUREL HEIGHTS DR, BRIDGETON, NJ 08302-3635
(856) 455-7111
Mailing address
233 LAUREL HEIGHTS DR, BRIDGETON, NJ 08302-3635
(856) 455-7111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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