| M Ottaviano Llc | |
|
107 Monmouth Rd Ste 107 West Long Branch NJ 07764-1021 | |
| (732) 660-5316 | |
| Not Available |
| Full Name | M Ottaviano Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 107 Monmouth Rd Ste 107, West Long Branch, New Jersey |
| Authorized Official Name and Position | Michael Ottaviano (OWNER) |
| Authorized Official Contact | 9084897621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M Ottaviano Llc 107 Monmouth Rd Ste 107 West Long Branch NJ 07764-1021 Ph: (732) 660-5316 | M Ottaviano Llc 107 Monmouth Rd Ste 107 West Long Branch NJ 07764-1021 Ph: (732) 660-5316 |
| NPI Number | 1730029372 |
|---|---|
| Provider Enumeration Date | 04/01/2026 |
| Last Update Date | 04/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730029372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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