Organization
STUART A WASSERLAUF DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY J KASH JR. DMD (DENTIST/OWNER/PARTNER)
(856) 848-2211
Entity
Organization
Contact information
Practice address
776 GROVE RD, WEST DEPTFORD, NJ 08086
(856) 848-2211
(856) 848-8630
Mailing address
776 GROVE RD, WEST DEPTFORD, NJ 08086
(856) 848-2211
(856) 848-8630
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14133
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2618605
—
NJ
Enumeration date
02/12/2007
Last updated
11/16/2020
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