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Organization
DENTAL STAR
Active
Organization
DENTAL STAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADIMIR POTEPALOV D.D.S. (DENTIST)
(732) 972-7770
Entity
Organization
Contact information
Practice address
74 PHILLIP LN, MANALAPAN, NJ 07726-8335
(732) 972-7770
(732) 972-7705
Mailing address
74 PHILIP PLAZA UNIT C, ENGLISHTOWN, NJ 07726
(732) 972-7770
(732) 972-7705
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02284000
NJ
Other
Enumeration date
03/21/2008
Last updated
04/01/2008
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