Organization
JERSEY SHORE ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN O SHEERAN (OFFICE MANAGER)
(732) 531-4411
Entity
Organization
Contact information
Practice address
1300 HWY 35, PLAZA I, OCEAN, NJ 07712-3537
(732) 531-4411
Mailing address
1300 HWY 35, PLAZA I, OCEAN, NJ 07712-3537
(732) 531-4411
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DI15503
NJ
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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