Individual
DR. JAVIER VICTOR DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
610 COLLINGS AVE, WEST COLLINGSWOOD, NJ 08107-1724
(856) 854-5848
Mailing address
610 COLLINGS AVE, WEST COLLINGSWOOD, NJ 08107-1724
(856) 854-5848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021089
MI
1223G0001X
General Practice Dentistry
DS037407
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/05/2007
Last updated
02/14/2020
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