| Kool Koala Pediatric And Adolescent Dentistry | |
|
501 Whitehorse Pike Collingswood NJ 08107 | |
| (856) 230-0924 | |
| Not Available |
| Full Name | Kool Koala Pediatric And Adolescent Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 501 Whitehorse Pike, Collingswood, New Jersey |
| Authorized Official Name and Position | Frederick Vernon Ballard (CEO) |
| Authorized Official Contact | 8562300924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kool Koala Pediatric And Adolescent Dentistry 501 Whitehorse Pike Collingswood NJ 08107 Ph: (856) 230-0924 | Kool Koala Pediatric And Adolescent Dentistry 501 Whitehorse Pike Collingswood NJ 08107 Ph: (856) 230-0924 |
| NPI Number | 1295112043 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295112043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22DIO2447503 (New Jersey) | Primary |
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