Organization
SHREWSBURY ORTHODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J MAGOULAS DDS (OWNER PRESIDENT)
(732) 544-0579
Entity
Organization
Contact information
Practice address
167 AVENUE AT THE COMMONS, STE 16, SHREWSBURY, NJ 07702
(732) 544-0579
(732) 544-9022
Mailing address
PO BOX 46, MARLBORO, NJ 07746
(732) 544-0579
(732) 544-9022
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI01859000
NJ
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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