Organization
FRANK J PECORARO DDS PA RICHARD M KELNER DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M KELNER DMD (DOCTOR DMD)
(732) 382-9090
Entity
Organization
Contact information
Practice address
1119 RARITAN RD, SUITE 1, CLARK, NJ 07066-1315
(732) 382-9090
(732) 396-1527
Mailing address
1119 RARITAN RD, SUITE 1, CLARK, NJ 07066-1315
(732) 382-9090
(732) 396-1527
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI00884501
NJ
1223P0300X
Periodontics
22DI00899901
NJ
1223P0300X
Periodontics
22DI02152901
NJ
Other
Enumeration date
03/08/2006
Last updated
06/18/2008
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