Individual
DR. JESSE MURILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3458 NEELY RD, JB MDL, NJ 08641
(609) 754-3786
Mailing address
3458 NEELY RD, JB MDL, NJ 08641-5312
(609) 754-3786
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
19325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19325
DENTAL LICENCE
TX
Enumeration date
09/16/2006
Last updated
05/18/2018
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