Organization
DEPTFORD FAMILY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD POLLER DDS (PRESIDENT)
(732) 914-1039
Entity
Organization
Contact information
Practice address
2000 CLEMENTS BRIDGE RD, SUITE 117 A, DEPTFORD, NJ 08096-2011
(856) 848-6006
(856) 848-6969
Mailing address
2000 CLEMENTS BRIDGE RD, SUITE 117 A, DEPTFORD, NJ 08096-2011
(856) 848-6006
(856) 848-6969
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI017432
NJ
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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