| Eastern Dental Of Ocean/monmouth, Llc | |
|
2770 Hooper Ave., Unit 4 Brick NJ 08723 | |
| (732) 477-9200 | |
| Not Available |
| Full Name | Eastern Dental Of Ocean/monmouth, Llc |
|---|---|
| Speciality | Dentist |
| Location | 2770 Hooper Ave., Unit 4, Brick, New Jersey |
| Authorized Official Name and Position | Amanda Mucciariello (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7327500707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Dental Of Ocean/monmouth, Llc 2770 Hooper Ave., Unit 4 Brick NJ 08723 Ph: () - | Eastern Dental Of Ocean/monmouth, Llc 2770 Hooper Ave., Unit 4 Brick NJ 08723 Ph: (732) 477-9200 |
| NPI Number | 1780130377 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780130377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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