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1649703216
EVERGREEN DENTAL PA
WOODBURY, NJ
NPI
1649703216
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Entity Type
Organization
Authorized Contact
RICHARD RUDEN
Owner
609-226-6489
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NJ 22DI01430100)
Enumeration Date
2017-04-10
Last Update Date
2017-04-10
Business Address
EVERGREEN DENTAL PA
549 S EVERGREEN AVE
WOODBURY, NJ 08097-1004
Phone number: 609-226-6489
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Mailing Address
EVERGREEN DENTAL PA
549 S EVERGREEN AVE
WOODBURY, NJ 08097-1004
Phone number: 609-226-6489
Copy
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