| Suburban Family Dental Pc | |
|
520 Stokes Rd Building B-18 Medford NJ 08055-2904 | |
| (609) 953-7400 | |
| (609) 953-4032 |
| Full Name | Suburban Family Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 520 Stokes Rd, Medford, New Jersey |
| Authorized Official Name and Position | Peter Duca (OWNER) |
| Authorized Official Contact | 6099537400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Family Dental Pc 520 Stokes Rd Building B-18 Medford NJ 08055-2904 Ph: (609) 953-7400 | Suburban Family Dental Pc 520 Stokes Rd Building B-18 Medford NJ 08055-2904 Ph: (609) 953-7400 |
| NPI Number | 1306951546 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306951546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI01754300 (New Jersey) | Primary |
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