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Organization
PENNINGTON DENTAL ARTS, L.L.C.
Active
Organization
PENNINGTON DENTAL ARTS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA B. GERTZMAN D.M.D. (OWNER)
(201) 924-3296
Entity
Organization
Contact information
Practice address
2425 PENNINGTON RD, SUITE 101, PENNINGTON, NJ 08534-5228
(201) 924-3296
Mailing address
17 BIGGS PL, FLEMINGTON, NJ 08822-3379
(201) 924-3296
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D101185500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241709
—
NJ
Enumeration date
06/04/2010
Last updated
06/04/2010
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