# PLEASANT VALLEY FAMILY DENTISTRY PA

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

## Provider details

- **NPI number:** 1619354909
- **Authorized official:** DR. AMINA SADIQ D.D.S. (DENTIST)
- **Authorized official phone:** (856) 222-1100

## Contact information

- **Practice address:** 301 FELLOWSHIP RD, MT LAUREL, NJ 08054
- **Practice address phone:** (856) 222-1100
- **Mailing address:** 301 FELLOWSHIP RD, MOUNT LAUREL, NJ 08054-1214
- **Mailing address phone:** (856) 222-1100
- **Mailing address fax:** (856) 222-4180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI01730900 | NJ | Yes |

## Other

- **Enumeration date:** 05/06/2015
- **Last updated:** 05/06/2015