Individual provider · Type 1 NPI
Mark L. Radler, DMD
Pediatric Dentistry · Long Branch, NJ
NPI number
1700877800
Active
Practice location
300 2nd Ave, Monmouth Medical Center
Long Branch, NJ 07740
Fax (732) 923-6588
Mailing address
209 Marshall Lane
Carrollton, VA 23314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DI00841301 (NJ) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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About NPI 1700877800
Mark L. Radler, DMD's National Provider Identifier is 1700877800, issued on Oct 30, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Long Branch, NJ. The record was last updated on Jun 2, 2008.