Organization
GSRB
Active
Other names
DENTALARTS GROUP PITMAN
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAFAELA AGOSTO (PRACTICE ADMINISTRATOR)
(267) 334-0082
Entity
Organization
Contact information
Practice address
102 PITMAN AVE, PITMAN, NJ 08071-1572
(856) 589-5737
(856) 589-2670
Mailing address
102 PITMAN AVE, PITMAN, NJ 08071-1572
(856) 589-5737
(856) 589-2670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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