Organization
GREGORY DEFELICE DMD LLC
Active
Parent organization
CEDAR RUN ORTHODONTICS PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CEDAR RUN ORTHODONTICS PA
Authorized official
GREGORY J DEFELICE DMD (PRESIDENT)
(609) 978-4411
Entity
Organization
Contact information
Practice address
22 W PACIFIC AVE, CAPE MAY COURT HOUSE, NJ 08210-2311
(609) 465-5175
Mailing address
22 W PACIFIC AVE, CAPE MAY COURT HOUSE, NJ 08210-2311
(609) 465-5175
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02278100
NJ
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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