| Tri-state Dentistry Deh, Llc | |
| 
					6801 Black Horse Pike Ste 1000 Egg Harbor Township NJ 08234-4115  | |
| (856) 418-5436 | |
| Not Available | 
| Full Name | Tri-state Dentistry Deh, Llc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 6801 Black Horse Pike Ste 1000, Egg Harbor Township, New Jersey | 
| Authorized Official Name and Position | Shamik Desai (PARTNER) | 
| Authorized Official Contact | 8564185436 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tri-state Dentistry Deh, Llc 6801 Black Horse Pike Ste 100 Egg Harbor Township NJ 08234-4120 Ph: (856) 418-5436  | Tri-state Dentistry Deh, Llc 6801 Black Horse Pike Ste 1000 Egg Harbor Township NJ 08234-4115 Ph: (856) 418-5436  | 
| NPI Number | 1871054940 | 
|---|---|
| Provider Enumeration Date | 03/29/2019 | 
| Last Update Date | 03/29/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871054940 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
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