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Dr Sullivan Dr Yasner Dr Kazemi Llc
Periodontist in Cherry Hill, New Jersey
NPI 1700941028

Dr Sullivan Dr Yasner Dr Kazemi Llc is a Periodontist based in Cherry Hill, NJ and is specialized in Periodontics. Dr Sullivan Dr Yasner Dr Kazemi Llc practices in Cherry Hill, NJ. The NPI Number for Dr Sullivan Dr Yasner Dr Kazemi Llc is 1700941028 and holds a License No. (New Jersey).

The current practice location address for Dr Sullivan Dr Yasner Dr Kazemi Llc is 1416 Brace Road, Cherry Hill, NJ and can be reached out via phone at 856-795-8020 and via fax at 856-795-9785.

Location: 1416 Brace Road, Cherry Hill, NJ, 08034-3523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700941028
Provider Name
Dr Sullivan Dr Yasner Dr Kazemi Llc
Credential
Provider Entity Type
Organization
Address
1416 Brace Road, Cherry Hill, NJ, 08034-3523
Phone Number
856-795-8020
Fax Number
856-795-9785
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
567 01 PA UNITED CONCORDIA
11133 01 NJ DELTA DENTAL
3399001 05 NJ
institution
Provider Business Practice Location Address Details
Address
1416 Brace Road
City
Cherry Hill
State
New Jersey
Zip
08034-3523
Phone Number
856-795-8020
Fax Number
856-795-9785
person
Provider Business Mailing Address Details
Address
1416 Brace Road
City
Cherry Hill
State
New Jersey
Zip
08034-3523
Phone Number
856-795-8020
Fax Number
856-795-9785
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
(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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