Individual
ALEXIS A SOLLACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1806 SPRINGFIELD AVE STE 2, NEW PROVIDENCE, NJ 07974-1005
(908) 591-2084
Mailing address
235 LEES HILL RD, BASKING RIDGE, NJ 07920-5503
(908) 591-2084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02047400
NJ
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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