Individual
DR. MARK L RADLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
300 2ND AVE, MONMOUTH MEDICAL CENTER, LONG BRANCH, NJ 07740
(732) 923-6585
(732) 923-6588
Mailing address
209 MARSHALL LANE, CARROLLTON, VA 23314
(732) 890-3380
(757) 238-2365
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DI00841301
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851608
—
NJ
Enumeration date
10/30/2005
Last updated
06/02/2008
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