Organization
FOX MEADOW COSMETIC & FAMILY DENTAL ASSOC PA
Active
Other names
Fox Meadow Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOLLY S AHLUWALIA DMD (PRESIDENT)
(856) 985-1400
Entity
Organization
Contact information
Practice address
108 CENTRE BLVD STE G, SUITE G, MARLTON, NJ 08053-4132
(856) 985-1400
(856) 985-1411
Mailing address
108 CENTRE BLVD STE G, SUITE G, MARLTON, NJ 08053-4132
(856) 985-1400
(856) 985-1411
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
DI16582
NJ
261QD0000X
Dental Clinic/Center
Primary
DI18977
NJ
Other
Enumeration date
08/21/2006
Last updated
07/21/2015
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