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Organization
PEQUANNOCK VALLEY DENTAL ASSOCIATES
Active
Organization
PEQUANNOCK VALLEY DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN M MARINO D.M.D (OWNER)
(973) 831-0444
Entity
Organization
Contact information
Practice address
567 NEWARK POMPTON TPKE, POMPTON PLAINS, NJ 07444-1737
(973) 831-0444
(973) 831-7770
Mailing address
567 NEWARK POMPTON TPKE, POMPTON PLAINS, NJ 07444-1737
(973) 831-0444
(973) 831-7770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02208900
NJ
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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