Individual
DR. EDWARD JAY REISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2103 BRANCH PIKE, SUITE #4, CINNAMINSON, NJ 08077-3044
(856) 829-1989
(856) 829-5014
Mailing address
2103 BRANCH PIKE, SUITE #4, CINNAMINSON, NJ 08077-3044
(856) 829-1989
(856) 829-5014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01226300
NJ
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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