# DESALVO & SHYONG PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DeSalvo Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619045333
- **Authorized official:** DR. PATRICIA GINA DESALVO DMD (DENTIST OWNER)
- **Authorized official phone:** (201) 224-3232

## Contact information

- **Practice address:** 264 COLUMBIA AVE, FORT LEE, NJ 07024
- **Practice address phone:** (201) 224-3232
- **Practice address fax:** (201) 224-6030
- **Mailing address:** 264 COLUMBIA AVE, FORT LEE, NJ 07024
- **Mailing address phone:** (201) 224-3232
- **Mailing address fax:** (201) 224-6030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI017994 | NJ | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 01/11/2010