Provider Demographics
NPI:1043595143
Name:CHERRY HILL PROSTHODONTIC ASSOC PC
Entity Type:Organization
Organization Name:CHERRY HILL PROSTHODONTIC ASSOC PC
Other - Org Name:CHERRY HILL DENTAL EXCELLENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAHRA
Authorized Official - Middle Name:
Authorized Official - Last Name:AFSHARZAND
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:856-428-2550
Mailing Address - Street 1:31 COVERED BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-2902
Mailing Address - Country:US
Mailing Address - Phone:856-428-2550
Mailing Address - Fax:856-428-7644
Practice Address - Street 1:31 COVERED BRIDGE RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2902
Practice Address - Country:US
Practice Address - Phone:856-428-2550
Practice Address - Fax:856-428-7644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty