Organization
WALL PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN BERCHIN DDS (OWNER DENTIST)
(347) 598-1782
Entity
Organization
Contact information
Practice address
2107 ROUTE 34, WALL TOWNSHIP, NJ 07719-9104
(732) 963-2130
(732) 963-2134
Mailing address
2107 ROUTE 34, WALL TOWNSHIP, NJ 07719-9104
(732) 963-2130
(732) 963-2134
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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