Organization · Type 2 NPI
Fox Meadow Cosmetic & Family Dental Assoc PA
Dental Clinic/Center · Marlton, NJ
NPI number
1154437614
Active
Practice location
108 Centre Blvd Ste G, Suite G
Marlton, NJ 08053-4132
Fax (856) 985-1411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DI18977 (NJ) |
| Dental Clinic/Center | 261QD0000X | DI16582 (NJ) |
Dental Clinic/Center: Definition to come...
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About NPI 1154437614
Fox Meadow Cosmetic & Family Dental Assoc PA's National Provider Identifier is 1154437614, issued on Aug 21, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Marlton, NJ. The record was last updated on Jul 21, 2015.