Bomze Westonpediatric Dentistry Associates
Dentist in Moorestown, NJ. Organization (NPI-2).
NPI number1205920162
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1205920162
- Entity type
- Organization (NPI-2)
- Legal business name
- Bomze Westonpediatric Dentistry Associates
- Organization subpart
- No
- Enumeration date
- Oct 3, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 22D100942001 | NJ | Yes |
Practice location
9 E. Main StreetMoorestown, NJ 08085
Phone 856-235-0415
Mailing address
9 E. Main StreetMoorestown, NJ 08085
Phone 856-235-0415
Authorized official
David William Weston
Principal
8562350415
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