Individual
DOUGLAS SHERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 HADDON AVE, HADDON TOWNSHIP, NJ 08108-2825
(856) 854-0146
Mailing address
326 HADDON AVE, HADDON TOWNSHIP, NJ 08108-2825
(856) 854-0146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI21527
NJ
Other
Enumeration date
12/14/2006
Last updated
12/10/2018
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