Individual
DR. DOMINIC PISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
70 LACEY RD, WHITING, NJ 08759-2931
(732) 350-7999
(732) 350-7961
Mailing address
70 LACEY RD, WHITING, NJ 08759-2931
(732) 350-7999
(732) 350-7961
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI009476
NJ
Other
Enumeration date
06/10/2008
Last updated
03/16/2016
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