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Organization
FIORENTINI FAMILY DENTAL GROUP LLC
Active
Organization
FIORENTINI FAMILY DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO SEVERINO FIORENTINI DMD (SOLE MEMBE)
(609) 655-1023
Entity
Organization
Contact information
Practice address
294 APPLEGARTH RD, SUITE H, MONROE TOWNSHIP, NJ 08831-3798
(609) 655-1023
Mailing address
294 APPLEGARTH RD, SUITE H, MONROE TWP, NJ 08831-3798
(609) 655-1023
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI013528000
NJ
Other
Enumeration date
03/27/2014
Last updated
01/07/2015
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