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Organization

PROSTHODONTICS AT MARLTON CROSSING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN ORENSTEIN DMD (PROSTHODONTIST/OWNER)
(856) 596-3737
Entity
Organization

Contact information

Practice address
564 LIPPINCOTT DR, MARLTON, NJ 08053-4810
(856) 596-3737
Mailing address
564 LIPPINCOTT DR, MARLTON, NJ 08053-4810
(856) 596-3737

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1548488984
PERSONAL NPI
NJ
Enumeration date
08/15/2018
Last updated
08/15/2018
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