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Organization
NEPTUNE FAMILY DENTAL
Active
Organization
NEPTUNE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA R JIMENEZ DDS (OWNER)
(732) 774-0077
Entity
Organization
Contact information
Practice address
2300 STATE ROUTE 33, NEPTUNE, NJ 07753-4362
(732) 774-0077
(732) 988-1176
Mailing address
2300 STATE ROUTE 33, NEPTUNE, NJ 07753-4362
(732) 774-0077
(732) 988-1176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02193300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101052
—
NJ
Enumeration date
05/01/2007
Last updated
08/14/2008
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