Comprehensive & Cosmetic & General Dististry | |
3350 State Route 138 Ste 127 Wall Township NJ 07719-9693 | |
(732) 556-9600 | |
(732) 556-9601 |
Full Name | Comprehensive & Cosmetic & General Dististry |
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Speciality | Dentist |
Location | 3350 State Route 138, Wall Township, New Jersey |
Authorized Official Name and Position | Anthony Joseph Mancino (OWNER,PRESIDENT) |
Authorized Official Contact | 7325569600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Comprehensive & Cosmetic & General Dististry 3350 State Route 138 Ste 127 Wall Township NJ 07719-9693 Ph: (732) 556-9600 | Comprehensive & Cosmetic & General Dististry 3350 State Route 138 Ste 127 Wall Township NJ 07719-9693 Ph: (732) 556-9600 |
NPI Number | 1104930668 |
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Provider Enumeration Date | 08/19/2006 |
Last Update Date | 05/06/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104930668 | NPI | - | NPPES |
11320 | Other | NJ | INS CO'S |
90730-00-4 | Other | NJ | NJ EMPLOYER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 11320 (New Jersey) | Primary |
All In The Family Dental Care Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2041 State Route 35, Wall Township, NJ 07719 Phone: 732-449-2228 Fax: 732-974-9226 | |
Joseph L. Hvidding Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Highway 138, Wall Township, NJ 07719 Phone: 732-681-7400 | |
Wall Pediatric Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2107 Route 34, Wall Township, NJ 07719 Phone: 732-963-2130 Fax: 732-963-2134 | |
Amara Dental Of Wall, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1933 Route 35, Unit 122, Wall Township, NJ 07719 Phone: 732-556-5000 Fax: 732-556-5001 |