Organization
SOUTH JERSEY PERIODONTICS & DENTAL IMPLANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KUBIKIAN DMD (OWNER)
(856) 256-7778
Entity
Organization
Contact information
Practice address
340 EGG HARBOR RD, SEWELL, NJ 08080-1856
(856) 256-7778
(856) 256-7702
Mailing address
340 EGG HARBOR RD, SEWELL, NJ 08080-1856
(856) 256-7778
(856) 256-7702
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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