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Organization
MANVILLE FAMILY DENTAL PC
Active
Organization
MANVILLE FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AL SHPANER (OFFICE MANAGER / VP)
(908) 725-0900
Entity
Organization
Contact information
Practice address
35 S MAIN ST, MANVILLE, NJ 08835-1801
(908) 725-0900
(908) 725-0907
Mailing address
35 S MAIN ST, MANVILLE, NJ 08835-1801
(908) 725-0900
(908) 725-0907
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
22DI02018500
NJ
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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