Kelnerperiollc - Clark, NJ

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

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

Identifier	Type	State	Issuer
22DI00899900	01	NJ	NJ DENTAL LICENSE

Address

67 Walnut Ave Ste 307

City

Clark

State

New Jersey

Zip

07066-1687

Phone Number

732-587-6740

Fax Number

732-587-6741

Address

67 Walnut Ave Ste 307

City

Clark

State

New Jersey

Zip

07066-1687

Phone Number

732-587-6740

Fax Number

732-587-6741

Type

Dental Providers

Classification

Dentist

Speciality

Periodontics

Taxonomy

1223P0300X

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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