Organization
ATLAS DENTAL SPECIALTY ASSOCIATES LLC
Active
Other names
Haddonfield Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIO R ESPINOZA DDS, MS (MANAGING MEMBER)
(856) 857-0400
Entity
Organization
Contact information
Practice address
63 KRESSON RD, SUITE 102, CHERRY HILL, NJ 08034-3200
(856) 857-0400
Mailing address
63 KRESSON RD, SUITE 102, CHERRY HILL, NJ 08034-3200
(856) 857-0400
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
22DI02534400
NJ
1223P0700X
Prosthodontics
Primary
22DI02404200
NJ
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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