Individual
DR. MARK W NESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
200 E MANTUA AVE, WENONAH, NJ 08090-1921
(856) 468-5858
(856) 468-9098
Mailing address
511 DELAWARE ST, WOODBURY, NJ 08096-1574
(856) 845-7397
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16417
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225096712
ASSOCIATE
NJ
01
—
1255365235
PARTNER
NJ
01
—
1306049259
PRACTICE
NJ
Enumeration date
07/12/2007
Last updated
07/12/2007
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