Individual
DR. RICHARD CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
25 KILMER DR, BUILDING 3, SUITE 216, MORGANVILLE, NJ 07751-1564
(732) 972-0918
(732) 972-0044
Mailing address
25 KILMER DRIVE, BUILDING 3, SUITE 216, MORGANVILLE, NJ 07751
(732) 972-0918
(732) 972-0044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01566300
NJ
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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