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Organization
MONMOUTH COUNTY PERIODONTICS LLC
Active
Organization
MONMOUTH COUNTY PERIODONTICS LLC
Active
Other names
Monmouth Periodontics & Implant Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRES JIMENEZ WOLF DDS, MSD (OWNER)
(732) 409-2900
Entity
Organization
Contact information
Practice address
193 US HIGHWAY 9 STE 2C, MANALAPAN, NJ 07726-3016
(732) 409-2900
(732) 409-6524
Mailing address
193 US HIGHWAY 9 STE 2C, MANALAPAN, NJ 07726-3016
(732) 409-2900
(732) 409-6524
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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