NPI 1801630249

Merchant Street Dental LLC

Organisation Meals Provider Audubon, NJ

Practice location

Address: 124 W Merchant St, Audubon, NJ 08106-1424
Phone: (908) 930-2848
Mailing address: 124 W Merchant St STE a, Audubon, NJ 08106-1424

Authorised official

Name: Ronen Shor
Title: Owner
Phone: (908) 930-2848

Registered specialties

Meals Provider Primary

Other Service Providers Taxonomy 174200000X

Other Meals providers in New Jersey →

Registry record

NPI: 1801630249
Entity type: Organization
NPI issued: 20 Jun 2024
Record last updated: 20 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.