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Organization
SHORE PEDIATRIC DENTAL GROUP
Active
Organization
SHORE PEDIATRIC DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM H LIEBERMAN DDS (OWNER)
(732) 842-5577
Entity
Organization
Contact information
Practice address
152 BROAD ST, RED BANK, NJ 07701-2046
(732) 842-5577
(732) 842-8253
Mailing address
152 BROAD ST, RED BANK, NJ 07701-2046
(732) 842-5577
(732) 842-8253
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
12/12/2011
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