Organization
SOUTH JERSEY DENTAL SLEEP CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN HOOVER DMD (OWNER)
(609) 953-7199
Entity
Organization
Contact information
Practice address
76 N MAIN ST, MEDFORD, NJ 08055-2720
(609) 953-7199
(609) 953-0314
Mailing address
76 N MAIN ST, MEDFORD, NJ 08055-2720
(609) 953-7199
(609) 953-0314
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DI01615200
NJ
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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