# LOUIS A D'ANGELO, DMD, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medford Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720318512
- **Authorized official:** LOUIS A D'ANGELO DMD (OWNER)
- **Authorized official phone:** (609) 953-7123

## Contact information

- **Practice address:** 103 OLD MARLTON PIKE, SUITE 200, MEDFORD, NJ 08055-8772
- **Practice address phone:** (609) 953-7123
- **Practice address fax:** (609) 953-1500
- **Mailing address:** 103 OLD MARLTON PIKE, SUITE 200, MEDFORD, NJ 08055-8772
- **Mailing address phone:** (609) 953-7123
- **Mailing address fax:** (609) 953-1500

## Taxonomy

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

## Other

- **Enumeration date:** 12/30/2009
- **Last updated:** 12/30/2009