Organization
DENTAL SPECIALISTS OF MANAHAWKIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAELA NEDELEA (DIRECTOR OF OPERATIONS)
(267) 334-0082
Entity
Organization
Contact information
Practice address
165 E BAY AVE, MANAHAWKIN, NJ 08050-3105
(609) 978-8806
Mailing address
165 E BAY AVE, MANAHAWKIN, NJ 08050-3105
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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