| Denise Dibona Dds,llc | |
|
146 Maple Ave Red Bank NJ 07701-1701 | |
| (732) 530-5111 | |
| (732) 741-2584 |
| Full Name | Denise Dibona Dds,llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 146 Maple Ave, Red Bank, New Jersey |
| Authorized Official Name and Position | Denise Dibona (DENTIST/OWNER) |
| Authorized Official Contact | 7325305111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Dibona Dds,llc 146 Maple Ave Red Bank NJ 07701-1701 Ph: (732) 530-5111 | Denise Dibona Dds,llc 146 Maple Ave Red Bank NJ 07701-1701 Ph: (732) 530-5111 |
| NPI Number | 1114116308 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 04/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114116308 | NPI | - | NPPES |
| DI15880 | Other | NJ | NJ STATE DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI15880 (New Jersey) | Primary |
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