NPI | 1235576182 |
---|---|
Doing Business As | HADDONFIELD DENTAL |
Entity Type | Organization |
Authorized Contact | JULIO R ESPINOZA Managing Member 856-857-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: NJ 22DI02404200) |
Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: NJ 22DI02534400) |
Enumeration Date | 2013-06-03 |
Last Update Date | 2013-06-03 |