Individual
DR. BENNETT RORY SHANKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1583 ROUTE 206, TABERNACLE, NJ 08088-8849
(609) 268-9292
Mailing address
1583 ROUTE 206, TABERNACLE, NJ 08088-8849
(609) 268-9292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14673
NJ
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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