Organization
CHILDREN'S DENTISTRY OF HAZLET P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIEL WOLCOTT (CRED COORDINATOR)
(732) 914-1039
Entity
Organization
Contact information
Practice address
883 POOLE AVE, HAZLET, NJ 07730-2040
(732) 739-8620
(732) 739-8621
Mailing address
883 POOLE AVE, HAZLET, NJ 07730-2040
(732) 739-8620
(732) 739-8621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI017432
NJ
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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