Individual
DR. ANTHONY MANCINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3350 RTE 138, WALL TOWNSHIP, NJ 07719-9693
(732) 556-9600
Mailing address
3350 RTE 138, WALL TOWNSHIP, NJ 07719-9693
(732) 556-9600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11320
NJ
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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