| NPI | 1750443206 |
|---|---|
| Other Name | RANCOCAS WOODS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GERALD S CONVISSAR President 856-778-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01196800) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |