Individual
DR. JOHN ROBERT DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
220 SCHOOLEY ST, MOORESTOWN STATION @ THE TRACKS, MOORESTOWN, NJ 08057-2957
(856) 235-6561
(856) 235-3072
Mailing address
220 SCHOOLEY ST, MOORESTOWN STATION @ THE TRACKS, MOORESTOWN, NJ 08057-2957
(856) 235-6561
(856) 235-3072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI11550
NJ
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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