# PEQUANNOCK VALLEY DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770779902
- **Authorized official:** DR. BRIAN M MARINO D.M.D (OWNER)
- **Authorized official phone:** (973) 831-0444

## Contact information

- **Practice address:** 567 NEWARK POMPTON TPKE, POMPTON PLAINS, NJ 07444-1737
- **Practice address phone:** (973) 831-0444
- **Practice address fax:** (973) 831-7770
- **Mailing address:** 567 NEWARK POMPTON TPKE, POMPTON PLAINS, NJ 07444-1737
- **Mailing address phone:** (973) 831-0444
- **Mailing address fax:** (973) 831-7770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02208900 | NJ | Yes |

## Other

- **Enumeration date:** 09/20/2007
- **Last updated:** 09/20/2007