Individual
ALLISON TAGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1828 W LAKE AVE, NEPTUNE, NJ 07753-4663
(732) 869-5736
Mailing address
14 CHASER CT, HOLMDEL, NJ 07733-2933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02587700
NJ
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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