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Organization
VALLEY ORAL & MAXILLOFACIAL SURGERY, PA
Active
Organization
VALLEY ORAL & MAXILLOFACIAL SURGERY, PA
Active
Other names
Valley Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
VITO MODUGNO DMD (OWNER PRESIDENT)
(201) 681-0440
Entity
Organization
Contact information
Practice address
370 UNION BLVD, TOTOWA, NJ 07512-2561
(973) 389-1110
Mailing address
370 UNION BLVD, TOTOWA, NJ 07512-2561
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DI 18054
NJ
Other
Enumeration date
01/31/2007
Last updated
08/26/2007
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