Individual
DONNA FASSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3 ELIZABETH PL, MANALAPAN, NJ 07726-3661
(732) 446-9230
Mailing address
3 ELIZABETH PL, MANALAPAN, NJ 07726-3661
(732) 446-9230
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
042019
NY
122300000X
Dentist
Primary
22DI01810300
NJ
Other
Enumeration date
05/22/2007
Last updated
03/03/2010
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