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Individual

ALLISON CARRIE SCEPPAGUERCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
152 CENTRAL AVE, #202, CLARK, NJ 07066-1115
(732) 382-8280
Mailing address
152 CENTRAL AVE, #202, CLARK, NJ 07066-1115
(732) 382-8280

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02618300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
0

Other

Enumeration date
04/06/2015
Last updated
01/31/2017
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