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Organization
RANCOCAS DENTAL ASSOCIATES, LLC
Active
Organization
RANCOCAS DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J ROSE (MANAGING MEMBER)
(856) 904-9946
Entity
Organization
Contact information
Practice address
620 BEVERLY RANCOCAS RD, WILLINGBORO, NJ 08046-3736
(609) 877-1818
(609) 877-0825
Mailing address
620 BEVERLY RANCOCAS RD, WILLINGBORO, NJ 08046-3736
(609) 877-1818
(609) 877-0825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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