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64 Main Ave Ocean Grove NJ 07756-1319 | |
(732) 774-8700 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 64 Main Ave, Ocean Grove, New Jersey |
Authorized Official Name and Position | Sarah Brevet (DENTIST) |
Authorized Official Contact | 7322335079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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18 Webb Ave Ocean Grove NJ 07756-1334 Ph: () - | 64 Main Ave Ocean Grove NJ 07756-1319 Ph: (732) 774-8700 |
NPI Number | 1053857680 |
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Provider Enumeration Date | 01/06/2017 |
Last Update Date | 01/06/2017 |
Identifier | Type | State | Issuer |
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1053857680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 22D102152300 (New Jersey) | Primary |