Individual
DANIELLE INDELICATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1708 HIGHWAY 35, MIDDLETOWN, NJ 07748-1832
(732) 630-0021
Mailing address
1708 HIGHWAY 35, MIDDLETOWN, NJ 07748-1832
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02671200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2016
Last updated
09/19/2022
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