# GENESIS FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528370269
- **Authorized official:** DR. ROBERT L CARTER DDS MPH (DENTIST)
- **Authorized official phone:** (856) 541-3627

## Contact information

- **Practice address:** 1436 HADDON AVE, CAMDEN, NJ 08103-3111
- **Practice address phone:** (856) 541-3627
- **Practice address fax:** (856) 541-1622
- **Mailing address:** 1436 HADDON AVE, CAMDEN, NJ 08103-3111
- **Mailing address phone:** (856) 541-3627
- **Mailing address fax:** (856) 541-1622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 14783 | NJ | Yes |

## Other

- **Enumeration date:** 07/10/2010
- **Last updated:** 07/10/2010