Individual
MATTHEW AARON PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(800) 843-2384
Mailing address
4 MIRO CIR, MARLBORO, NJ 07746-2417
(908) 596-1099
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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