Organization
THE ORTHODONTIC GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R KAZMIERSKI D.M.D. (PRESIDENT)
(856) 596-1933
Entity
Organization
Contact information
Practice address
64 E MAIN ST, MARLTON, NJ 08053-2141
(856) 596-1933
(856) 596-4001
Mailing address
64 E MAIN ST, MARLTON, NJ 08053-2141
(856) 596-1933
(856) 596-4001
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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