| Jersey Shore Dental Spa Llc | |
|
613 Hope Road Building 5 Eatontown NJ 07724 | |
| (732) 770-1239 | |
| Not Available |
| Full Name | Jersey Shore Dental Spa Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 613 Hope Road Building 5, Eatontown, New Jersey |
| Authorized Official Name and Position | Marc Aaron Christy (OWNER DENTIST) |
| Authorized Official Contact | 7327701239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Shore Dental Spa Llc 604 Main St Apt 2 Belmar NJ 07719-5141 Ph: (732) 770-1239 | Jersey Shore Dental Spa Llc 613 Hope Road Building 5 Eatontown NJ 07724 Ph: (732) 770-1239 |
| NPI Number | 1649745589 |
|---|---|
| Provider Enumeration Date | 10/08/2018 |
| Last Update Date | 10/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649745589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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