Chester Woods Family Dentistry, LLC
Clinic/Center, Dental in Chester, NJ. Organization (NPI-2).
NPI number1104519792
StatusActive
Last updated in NPPESMay 30, 2023
Details
- NPI
- 1104519792
- Entity type
- Organization (NPI-2)
- Legal business name
- Chester Woods Family Dentistry, LLC
- Organization subpart
- No
- Enumeration date
- May 30, 2023
- Certification date
- May 30, 2023
- Last updated
- May 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
385 Route 24 Ste 1dChester, NJ 07930-2908
Phone 908-224-9994
Mailing address
385 Route 24 Ste 1dChester, NJ 07930-2908
Phone 908-224-9994
Authorized official
Carina Fairfield
Owner - Dentist
9735252721
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