| Pediatric Dentistry Of Mullica Hill, Limited Liability Company | |
|
4 Burton Ln Suite 400 Mullica Hill NJ 08062-9422 | |
| (856) 842-5400 | |
| (856) 842-5220 |
| Full Name | Pediatric Dentistry Of Mullica Hill, Limited Liability Company |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4 Burton Ln, Mullica Hill, New Jersey |
| Authorized Official Name and Position | Marc Albano (MEMBER) |
| Authorized Official Contact | 6092382853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Mullica Hill, Limited Liability Company 4 Burton Ln Suite 400 Mullica Hill NJ 08062-9422 Ph: (856) 842-5400 | Pediatric Dentistry Of Mullica Hill, Limited Liability Company 4 Burton Ln Suite 400 Mullica Hill NJ 08062-9422 Ph: (856) 842-5400 |
| NPI Number | 1992189179 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 07/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992189179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22DI02344100 (New Jersey) | Primary |
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