Organization
ACORN PEDIATRIC DENTAL, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONILYNN EGAN (CREDENTIALING COORDINATOR)
(732) 852-9200
Entity
Organization
Contact information
Practice address
1161 ROUTE 35, MIDDLETOWN, NJ 07748-2605
(732) 852-9200
Mailing address
1161 ROUTE 35, MIDDLETOWN, NJ 07748-2605
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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