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Organization
CHANTILLY DENTAL GROUP LLC
Active
Organization
CHANTILLY DENTAL GROUP LLC
Active
Other names
Monmouth DEntal Group North
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E. TARRAB DDS (MANAGING MEMBER)
(732) 888-7770
Entity
Organization
Contact information
Practice address
1 STATE ROUTE 35, KEYPORT, NJ 07735-1128
(732) 888-7770
(732) 888-2711
Mailing address
1 STATE ROUTE 35, KEYPORT, NJ 07735-1128
(732) 888-7770
(732) 888-2711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI01693000
NJ
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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