| Monmouth County Periodontics Llc | |
|
193 Us Highway 9 Ste 2c Manalapan NJ 07726-3016 | |
| (732) 409-2900 | |
| (732) 409-6524 |
| Full Name | Monmouth County Periodontics Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 193 Us Highway 9 Ste 2c, Manalapan, New Jersey |
| Authorized Official Name and Position | Andres Jimenez Wolf (OWNER) |
| Authorized Official Contact | 7324092900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monmouth County Periodontics Llc 193 Us Highway 9 Ste 2c Manalapan NJ 07726-3016 Ph: (732) 409-2900 | Monmouth County Periodontics Llc 193 Us Highway 9 Ste 2c Manalapan NJ 07726-3016 Ph: (732) 409-2900 |
| NPI Number | 1346995834 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 02/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346995834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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