Organization
ORTHODONTICS @ FORKED RIVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD KESSLER DDS (PRESIDENT)
(609) 693-0117
Entity
Organization
Contact information
Practice address
620 WEST LACEY ROAD. SUITE 6, FORKED RIVER, NJ 08731-2244
(609) 693-0117
(609) 693-7555
Mailing address
620 WEST LACEY ROAD, SUITE 6, FORKED RIVER, NJ 08731-2244
(609) 693-0117
(609) 693-7555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI00812500
NJ
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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