institution
Kelnerperiollc
Periodontist in Clark, New Jersey
NPI 1205215050

Kelnerperiollc is a Periodontist based in Clark, NJ and is specialized in Periodontics. Kelnerperiollc practices in Clark, NJ. The NPI Number for Kelnerperiollc is 1205215050 and holds a License No. 22DI00899900 (New Jersey).

The current practice location address for Kelnerperiollc is 67 Walnut Ave Ste 307, Clark, NJ and can be reached out via phone at 732-587-6740 and via fax at 732-587-6741.

Location: 67 Walnut Ave Ste 307, Clark, NJ, 07066-1687
institution
Provider Profile Details
NPI Number
1205215050
Provider Name
Kelnerperiollc
Credential
Provider Entity Type
Organization
Address
67 Walnut Ave Ste 307, Clark, NJ, 07066-1687
Phone Number
732-587-6740
Fax Number
732-587-6741
Provider Enumeration Date
05/27/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22DI00899900 01 NJ NJ DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
67 Walnut Ave Ste 307
City
State
Zip
07066-1687
Phone Number
732-587-6740
Fax Number
732-587-6741
person
Provider Business Mailing Address Details
Address
67 Walnut Ave Ste 307
City
State
Zip
07066-1687
Phone Number
732-587-6740
Fax Number
732-587-6741
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
22DI00899900 (New Jersey)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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