NPI Provider: 1003892795
Contact Name: poller b edward
Position: president
Phone: (732) 914-1039
Shore Family Dental Information:
Shore Family Dental organization have npi 1003892795, taxonomy code is 122300000X with license number is in . This Business address located in 16 Washington St, Toms River, NJ 87537 New Jersey.
Practice Location
Address: 1358 Hooper Ave, Toms River, NJ 87532
Phone: (732) 914-1039
Business Location
Address: 16 Washington St, Toms River, NJ 87537
Phone: (732) 914-1039
Fax: (732) 914-8472
Taxonomy
Taxonomy Code: 122300000X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 12/15/2005
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