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Individual

DR. VICTORIA J. ROEDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
211 W MILLSTREAM RD, CREAM RIDGE, NJ 08514-2356
(609) 758-9595
Mailing address
211 W MILLSTREAM RD, CREAM RIDGE, NJ 08514-2356
(609) 758-9595

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DI20385
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2120385
DELTA
NJ
01
90001024500
AMERICHOICE
NJ
01
UNITED CONCORDIA
869326
NJ
Enumeration date
10/19/2006
Last updated
07/08/2007
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