| Washington Township Lv Dental Llc | |
|
5650 Route 42 Blackwood NJ 08012-1045 | |
| (856) 302-7026 | |
| (856) 302-7027 |
| Full Name | Washington Township Lv Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5650 Route 42, Blackwood, New Jersey |
| Authorized Official Name and Position | Chris Zadlo (MANAGER OF OPERATIONS) |
| Authorized Official Contact | 8563027026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Township Lv Dental Llc 5650 Route 42 Blackwood NJ 08012-1045 Ph: (856) 302-7026 | Washington Township Lv Dental Llc 5650 Route 42 Blackwood NJ 08012-1045 Ph: (856) 302-7026 |
| NPI Number | 1740063411 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740063411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |