Organization
DICKERSON DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINE CENTRELLA (OFFICE MANAGER)
(973) 366-8338
Entity
Organization
Contact information
Practice address
714 ROUTE 10, RANDOLPH, NJ 07869
(973) 366-8338
(973) 366-2178
Mailing address
25-27 DICKERSON ST., DOVER, NJ 07801
(973) 366-8338
(973) 366-2178
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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