Organization
KLDDMD1PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE DEBRA BAALS RDH (MANAGER)
(856) 467-1900
Entity
Organization
Contact information
Practice address
1908 KINGS HWY, SWEDESBORO, NJ 08085-1638
(856) 467-1900
(856) 467-8435
Mailing address
PO BOX 128, SWEDESBORO, NJ 08085-0128
(856) 467-1900
(856) 467-8435
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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