Organization
NEW ALBANY PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E. A. STRANQUIST (DIRECTOR OF OPERATIONS)
(856) 206-9255
Entity
Organization
Contact information
Practice address
9 E MAIN ST STE C, MOORESTOWN, NJ 08057-3382
(856) 206-9255
(856) 206-9254
Mailing address
9 E MAIN ST STE C, MOORESTOWN, NJ 08057-3382
(856) 206-9255
(856) 206-9254
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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