Organization
CEDAR RUN ORTHODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J DEFELICE (PRESIDENT)
(609) 978-4411
Entity
Organization
Contact information
Practice address
1064 S MAIN ST, SUITE 2A, WEST CREEK, NJ 08092-2912
(609) 978-4411
(609) 978-6677
Mailing address
1064 S MAIN ST, SUITE 2A, WEST CREEK, NJ 08092-2912
(609) 978-4411
(609) 978-6677
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02278100
NJ
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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