Organization
MEDFORD PERIODONTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD CALEM DMD (OWNER)
(609) 953-3700
Entity
Organization
Contact information
Practice address
30 JACKSON RD, SUITE A-5, MEDFORD, NJ 08055-9283
(609) 953-3700
Mailing address
30 JACKSON RD, SUITE A-5, MEDFORD, NJ 08055-9283
(609) 953-3700
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI01653900
NJ
Other
Enumeration date
12/19/2007
Last updated
08/13/2024
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