# FAMILY AND COSMETIC DENTISTRY,DRS. STANISLAUS AND MICHELOTTI

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407069693
- **Authorized official:** DR. GLENN RAJ STANISLAUS DMD (PARTNER)
- **Authorized official phone:** (732) 409-0330

## Contact information

- **Practice address:** 4249 US HIGHWAY 9, BUILDING 2, SUITE A, FREEHOLD, NJ 07728-8308
- **Practice address phone:** (732) 409-0330
- **Practice address fax:** (732) 409-0353
- **Mailing address:** 4249 US HIGHWAY 9, BUILDING 2, SUITE A, FREEHOLD, NJ 07728-8308
- **Mailing address phone:** (732) 409-0330
- **Mailing address fax:** (732) 409-0353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI01718000 | NJ | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 08/22/2020