Organization
JIMMIE LEE DENTAL LLC
Active
Other names
Voorhees Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WIENER DMD (OWNER)
(856) 753-2900
Entity
Organization
Contact information
Practice address
180 ROUTE 73, SUITE 1202, VOORHEES, NJ 08043-9546
(856) 753-2900
(856) 753-5151
Mailing address
180 ROUTE 73, SUITE 1202, VOORHEES, NJ 08043-9546
(856) 753-2900
(856) 753-5151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI01046700
NJ
1223G0001X
General Practice Dentistry
Primary
22DI02555100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0328651
—
NJ
05
—
0469947
—
NJ
Enumeration date
09/15/2016
Last updated
09/15/2016
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