Venditto Dental Assoc | |
475 Rt 70 West Ste 102 Lakewood NJ 08701 | |
(732) 905-7706 | |
(732) 905-4171 |
Full Name | Venditto Dental Assoc |
---|---|
Speciality | Dentist |
Location | 475 Rt 70 West Ste 102, Lakewood, New Jersey |
Authorized Official Name and Position | Rauree A Venditto (OFFICE MAN SEC TREAS) |
Authorized Official Contact | 7329057706 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Venditto Dental Assoc 475 Rt 70 West Ste 102 Lakewood NJ 08701 Ph: (732) 905-7706 | Venditto Dental Assoc 475 Rt 70 West Ste 102 Lakewood NJ 08701 Ph: (732) 905-7706 |
NPI Number | 1720157530 |
---|---|
Provider Enumeration Date | 11/07/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720157530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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