Individual
DR. DOMENICO ADDIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
220 ROUTE 72 W, MANAHAWKIN, NJ 08050-2812
(609) 597-4660
(609) 597-4771
Mailing address
220 ROUTE 72 W, MANAHAWKIN, NJ 08050-2812
(609) 597-4660
(609) 597-4771
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DL02216000
NJ
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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