Eastern Dental Of Ocean/monmouth, Llc | |
2770 Hooper Ave., Unit 4 Brick NJ 08723 | |
(732) 477-9200 | |
Not Available |
Full Name | Eastern Dental Of Ocean/monmouth, Llc |
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Speciality | Dentist |
Location | 2770 Hooper Ave., Unit 4, Brick, New Jersey |
Authorized Official Name and Position | Amanda Mucciariello (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 7327500707 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eastern Dental Of Ocean/monmouth, Llc 2770 Hooper Ave., Unit 4 Brick NJ 08723 Ph: () - | Eastern Dental Of Ocean/monmouth, Llc 2770 Hooper Ave., Unit 4 Brick NJ 08723 Ph: (732) 477-9200 |
NPI Number | 1780130377 |
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Provider Enumeration Date | 09/01/2016 |
Last Update Date | 09/01/2016 |
Identifier | Type | State | Issuer |
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1780130377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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