Organization
RUTGERS SCHOOL OF DENTAL MEDICINE
Active
Other names
University Dental Center at Somerdale
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH RICHMOND DMD, MDS (DENTAL DIRECTOR)
(856) 566-6969
Entity
Organization
Contact information
Practice address
13 SOMERDALE SQ, SOMERDALE, NJ 08083-1345
(856) 566-6969
(856) 566-6012
Mailing address
110 BERGEN ST, RSDM ROOM D-954, NEWARK, NJ 07103-2495
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018341
—
NJ
Enumeration date
05/08/2007
Last updated
05/09/2014
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