Individual
DR. RICHARD M KELNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
67 WALNUT AVE STE 307, SUITE 1, CLARK, NJ 07066-1687
(732) 587-6740
(732) 587-6741
Mailing address
67 WALNUT AVE STE 307, SUITE 1, CLARK, NJ 07066-1687
(732) 587-6740
(732) 587-6741
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI00899901
NJ
Other
Enumeration date
03/24/2006
Last updated
06/02/2015
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