Individual
DR. NICHOLAS JAMES CIARDIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1828 W LAKE AVE, NEPTUNE, NJ 07753-4663
(732) 774-5772
Mailing address
877 CRESCENT DR, RAHWAY, NJ 07065-1705
(732) 433-3560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02678300
NJ
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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