| Alpha Dental Spa Llc | |
| 
					2103 Branch Pike Ste 16 Cinnaminson NJ 08077-3044  | |
| (856) 829-1989 | |
| (856) 829-5014 | 
| Full Name | Alpha Dental Spa Llc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 2103 Branch Pike Ste 16, Cinnaminson, New Jersey | 
| Authorized Official Name and Position | David S Cho (OWNER) | 
| Authorized Official Contact | 8568291989 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alpha Dental Spa Llc 2103 Branch Pike Ste 16 Cinnaminson NJ 08077-3044 Ph: (856) 829-1989  | Alpha Dental Spa Llc 2103 Branch Pike Ste 16 Cinnaminson NJ 08077-3044 Ph: (856) 829-1989  | 
| NPI Number | 1518403393 | 
|---|---|
| Provider Enumeration Date | 01/17/2017 | 
| Last Update Date | 01/17/2017 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518403393 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI01956704 (New Jersey) | Primary | 
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