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Organization

ACORN DENTAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FREDERICK R VAN ISTENDAL JR. DDS (PRESIDENT)
(856) 983-0060
Entity
Organization

Contact information

Practice address
100 CENTRE BLVD, SUITE J, MARLTON, NJ 08053-4128
(856) 983-0060
(856) 983-3356
Mailing address
100 CENTRE BLVD, SUITE J, MARLTON, NJ 08053-4128
(856) 983-0060
(856) 983-3356

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
22DI00903200
NJ
1223P0300X
Periodontics
Primary
22DI01834400
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22DI01122502
NJ

Other

Enumeration date
03/27/2007
Last updated
09/11/2025
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