Organization
CLEMENTON FAMILY DENTISTRY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH SOFFER DDS (OWNER)
(856) 783-4949
Entity
Organization
Contact information
Practice address
132 WHITE HORSE PIKE, CLEMENTON, NJ 08021-4159
(856) 783-4949
(856) 783-9766
Mailing address
132 WHITE HORSE PIKE, CLEMENTON, NJ 08021-4159
(856) 783-4949
(856) 783-9766
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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