Organization
PAUL L PASTERNACK DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL LARRY PASTERNACK DDS (OWNER)
(856) 770-0033
Entity
Organization
Contact information
Practice address
1 BRITTON PLACE, SUITE 11, VOORHEES, NJ 08043
(856) 770-0033
(856) 770-0608
Mailing address
1 BRITTON PLACE, SUITE 11, VOORHEES, NJ 08043
(856) 770-0033
(856) 770-0608
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI00954800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3021904
—
NJ
Enumeration date
01/09/2007
Last updated
08/22/2020
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