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Organization
JERSEY SHORE DENTAL SPA LLC
Active
Organization
JERSEY SHORE DENTAL SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC AARON CHRISTY DMD (OWNER DENTIST)
(732) 770-1239
Entity
Organization
Contact information
Practice address
613 HOPE ROAD BUILDING 5, EATONTOWN, NJ 07724
(732) 770-1239
Mailing address
604 MAIN ST APT 2, BELMAR, NJ 07719-5141
(732) 770-1239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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