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Organization
SHORE ENDODONTICS OF SEA GIRT PA
Active
Organization
SHORE ENDODONTICS OF SEA GIRT PA
Active
Other names
Shore Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJEEV GUPTA D.D.S. (ENDODONTIST)
(732) 349-9222
Entity
Organization
Contact information
Practice address
2130 HIGHWAY 35, SEA GIRT, NJ 08750-1010
(732) 893-8600
(732) 359-6165
Mailing address
2130 HIGHWAY 35, SEA GIRT, NJ 08750-1010
(732) 893-8600
(732) 359-6165
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22DI02077300
NJ
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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