NPI | 1023857000 |
---|---|
Doing Business As | DENTISTRY OF SOUTH JERSEY - WASHINGTON TWSP. |
Entity Type | Organization |
Authorized Contact | DOUGLAS SHERLY President 609-560-5902 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-05-21 |
Last Update Date | 2024-05-21 |