Organization
MEDFORD CHILDREN'S DENTAL CENTER, PC
Active
Other names
A-OK Children's Dentistry, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE DIERNA D.D.S. (OWNER)
(609) 654-1141
Entity
Organization
Contact information
Practice address
520 STOKES RD, SUITE B 18, MEDFORD, NJ 08055-2904
(609) 654-1141
Mailing address
1221 N CHURCH ST, SUITE 201, MOORESTOWN, NJ 08057-1245
(856) 235-0020
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/28/2011
Last updated
10/26/2011
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