| Domenic Monaco D.m.d., P.a. | |
|
346 South Ave Ste 7 Fanwood NJ 07023-1356 | |
| (908) 889-2020 | |
| (908) 889-8411 |
| Full Name | Domenic Monaco D.m.d., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 346 South Ave Ste 7, Fanwood, New Jersey |
| Authorized Official Name and Position | Domenic Monaco (PRESIDENT) |
| Authorized Official Contact | 9088892020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Domenic Monaco D.m.d., P.a. 346 South Ave Ste 7 Fanwood NJ 07023-1356 Ph: (908) 889-2020 | Domenic Monaco D.m.d., P.a. 346 South Ave Ste 7 Fanwood NJ 07023-1356 Ph: (908) 889-2020 |
| NPI Number | 1114148269 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114148269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI017657 (New Jersey) | Primary |
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