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Organization
SOUTH JERSEY DENTAL SLEEP CENTER LLC
Active
Organization
SOUTH JERSEY DENTAL SLEEP CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN HOOVER DMD (OWNER)
(609) 953-7199
Entity
Organization
Contact information
Practice address
76 N MAIN ST, MEDFORD, NJ 08055-2720
(609) 953-7199
(609) 953-0314
Mailing address
76 N MAIN ST, MEDFORD, NJ 08055-2720
(609) 953-7199
(609) 953-0314
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DI01615200
NJ
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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