GERALD STEVEN CONVISSAR

MOUNT LAUREL, NJ
NPI1336200518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NJ  22DI01196800)
Enumeration Date2006-12-12
Last Update Date2007-07-08
Business Address
Dr. GERALD STEVEN CONVISSAR DDS
2 RANCOCAS BLVD
MOUNT LAUREL, NJ 08054
Phone number: 856-778-8655
Mailing Address
Dr. GERALD STEVEN CONVISSAR DDS
1373 HEARTWOOD DRIVE
CHERRY HILL, NJ 08003
Phone number: 856-354-1986
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