New Jersey Mobile Dental Practice, P.a.

NPI 1447379102 - Dentist - 122300000X

NPI Details
NPI 1447379102
Enumeration Date 03/27/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STEPHEN A STEPHEN
Position PRESIDENT
Phone (732) 431-7577
Fax (732) 431-8070
Practice Location
24 MERCHANTS WAY
COLTS NECK NJ, 07722-1570, US
Phone (732) 431-7577
Fax (732) 431-8070
Business Location
637 WYCKOFF AVE
SUITE 236
WYCKOFF NJ, 07481-1438, US
Phone (732) 431-7577
Fax (732) 431-8070
Toxanomy
Taxonomy Code 122300000X
License State New Jersey
License Number DI018346
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According to our database, New Jersey Mobile Dental Practice, P.a. NPI is 1447379102, taxonomy code is 122300000X and license number is DI018346, license state is located at New Jersey. New Jersey Mobile Dental Practice, P.a. physically located at 24 Merchants Way, Colts Neck NJ, 07722-1570. NPI Number 1033115704 has the healthcare provider type.

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1447379102 NPI number is provided on an as is basis without warranty of any kind. 1447379102 is maintained by the National Plan & Provider Enumeration System. The contents of New Jersey Mobile Dental Practice, P.a. are for informational purposes only.