Organization
JOHN D KERNAN DMD PA
Active
Other names
William T DeFeo DDS PA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER UBER BURTON (CONTROLLER SECRETARY)
(856) 869-8660
Entity
Organization
Contact information
Practice address
658 W CUTHBERT BLVD, WESTMONT, NJ 08108-3642
(856) 869-8660
(856) 869-8686
Mailing address
658 W CUTHBERT BLVD, WESTMONT, NJ 08108-3642
(856) 869-8660
(856) 869-8686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01100200
NJ
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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