Organization
CHERRY HILL MALL DENTAL LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA A KOROL (OFFICE MANAGER)
(856) 488-1923
Entity
Organization
Contact information
Practice address
2000 ROUTE 38, SUITE 2010, CHERRY HILL, NJ 08002-2100
(856) 488-1923
(856) 488-1926
Mailing address
2000 ROUTE 38, SUITE 2010, CHERRY HILL, NJ 08002-2100
(856) 488-1923
(856) 488-1926
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02139700
NJ
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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