Organization
PLEASANTVILLE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD STRANQUIST (DIRECTOR OF OPERATIONS)
(856) 266-6724
Entity
Organization
Contact information
Practice address
216 S MAIN ST, PLEASANTVILLE, NJ 08232-3028
(856) 206-9255
(856) 206-9254
Mailing address
9 E MAIN ST, SUITE C, MOORESTOWN, NJ 08057-3382
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/07/2013
Last updated
10/07/2013
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