Organization
MAIN STREET DENTAL - MULLICA HILL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH DUNOFF (OWNER)
(856) 223-0041
Entity
Organization
Contact information
Practice address
1 WHEATLEY BLVD, MULLICA HILL, NJ 08062-9622
(856) 223-0041
(856) 223-0020
Mailing address
1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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