Individual
PETER J. MAGOULAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
167 AVENUE AT THE CMN, SUITE 16, SHREWSBURY, NJ 07702-4805
(732) 544-9002
(732) 544-9022
Mailing address
PO BOX 7987, SHREWSBURY, NJ 07702-7987
(732) 544-9002
(732) 544-9022
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8590
NJ
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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