Organization
STAFFORDSHIRE DENTAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LAWRENCE LENAHAN D.M.D. (PRESIDENT)
(856) 627-3400
Entity
Organization
Contact information
Practice address
1307 WHITE HORSE RD, SUITE 500, VOORHEES, NJ 08043-2176
(856) 627-3400
(856) 627-3628
Mailing address
1307 WHITE HORSE RD, SUITE 500, VOORHEES, NJ 08043-2176
(856) 627-3400
(856) 627-3628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI13083
NJ
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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