| Galleria Dental Group Llc | |
|
100 Route 9 Suite11 Manalapan NJ 07726-3014 | |
| (732) 462-5511 | |
| (732) 462-5611 |
| Full Name | Galleria Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Route 9, Manalapan, New Jersey |
| Authorized Official Name and Position | Polina Barenbaum (PARTNER) |
| Authorized Official Contact | 7324625511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Galleria Dental Group Llc 100 Route 9 Suite11 Manalapan NJ 07726-3014 Ph: (732) 462-5511 | Galleria Dental Group Llc 100 Route 9 Suite11 Manalapan NJ 07726-3014 Ph: (732) 462-5511 |
| NPI Number | 1356536379 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356536379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02217200 (New Jersey) | Primary |
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