Organization
MOORESTOWN DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J ROSE (MANAGING MEMBER)
(856) 904-9946
Entity
Organization
Contact information
Practice address
110 MARTER AVE, SUITE 204, MOORESTOWN, NJ 08057-3124
(856) 727-6453
(856) 727-4039
Mailing address
110 MARTER AVE, SUITE 204, MOORESTOWN, NJ 08057-3124
(856) 727-6453
(856) 727-4039
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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