Organization
COMPASS DENTAL AT MARLTON CROSSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISAN PERELMUT DMD (GENERAL DENTIST)
(856) 596-3737
Entity
Organization
Contact information
Practice address
564 LIPPINCOTT DR, MARLTON, NJ 08053-4810
(856) 596-3737
Mailing address
564 LIPPINCOTT DR, MARLTON, NJ 08053-4810
(856) 596-3737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093236259
PERSONAL NPI
NJ
Enumeration date
08/15/2018
Last updated
08/15/2018
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