Justin Charles Ponquinette DMD

NPI 1679747190 - Dentist - 1223S0112X

NPI Details
NPI 1679747190
Gender Male
Enumeration Date 04/15/2008
Last Updated 04/15/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
970 CLIFTON AVE
SECOND FLOOR
CLIFTON NJ, 07013-2731, US
Phone (973) 473-3100
Fax
Business Location
126 DEEPWATER CIR
MANALAPAN NJ, 07726-4148, US
Phone (718) 704-3037
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State New Jersey
License Number 22DI02369900
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According to our database, Dr. Justin Charles Ponquinette DMD NPI is 1679747190, taxonomy code is 1223S0112X and license number is 22DI02369900, license state is located at New Jersey. Justin Charles Ponquinette DMD physically located at 970 Clifton Ave, Clifton NJ, 07013-2731. NPI Number Justin Charles Ponquinette DMD has the Individual type.

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1679747190 NPI number is provided on an as is basis without warranty of any kind. 1679747190 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Charles Ponquinette DMD are for informational purposes only.