# WEMROCK (FREEHOLD) DENTAL ARTS

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

## Provider details

- **NPI number:** 1902312473
- **Authorized official:** AMANDA MUCCIARIELLO (ADMIN. ASST.)
- **Authorized official phone:** (732) 750-0707

## Contact information

- **Practice address:** 503 STILLWELLS CORNER RD, FREEHOLD, NJ 07728-2965
- **Practice address phone:** (732) 462-0774
- **Mailing address:** 1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390
- **Mailing address phone:** (732) 750-0707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2017
- **Last updated:** 12/20/2017