Organization
SOUTH JERSEY DENTAL STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARA NIKOONEZHAD DMD (OWNER/DENTIST)
(732) 615-8087
Entity
Organization
Contact information
Practice address
539 MARLTON PIKE W, CHERRY HILL, NJ 08002
(856) 406-6570
Mailing address
539 MARLTON PIKE W, CHERRY HILL, NJ 08002
(856) 406-6570
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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