Organization
MEDFORD FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KRUSINSKI D.M.D. (PRESIDENT)
(609) 654-2520
Entity
Organization
Contact information
Practice address
353 ROUTE 70, MEDFORD, NJ 08055-9583
(609) 654-2520
(609) 654-5886
Mailing address
353 ROUTE 70, MEDFORD, NJ 08055-9583
(609) 654-2520
(609) 654-5886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI017376
NJ
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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