Organization
MAIN STREET DENTAL - PENNSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH DUNOFF (OWNER)
(856) 678-4400
Entity
Organization
Contact information
Practice address
333 N BROADWAY, PENNSVILLE, NJ 08070-1247
(856) 678-4400
(856) 678-4808
Mailing address
333 N BROADWAY, PENNSVILLE, NJ 08070-1247
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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