Individual
VIRGINIA MATOS-PERROTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
277 GEORGE ST, NEW BRUNSWICK, NJ 08901-1311
(732) 235-6700
Mailing address
361 GRANDVIEW AVE, PISCATAWAY, NJ 08854
(732) 369-3764
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DIO1497200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003469
—
NJ
Enumeration date
11/16/2005
Last updated
06/02/2016
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