Organization
CHURCH STREET FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENETIA ZERVOS DDS (DENTIST/OWNER)
(856) 778-2700
Entity
Organization
Contact information
Practice address
817 S CHURCH ST, MOUNT LAUREL, NJ 08054-2503
(856) 778-2700
Mailing address
817 S CHURCH ST, MOUNT LAUREL, NJ 08054-2503
(856) 778-2700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17105
NJ
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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