Individual
JESSICA MICALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
320 EVESBORO MEDFORD RD STE 101, MARLTON, NJ 08053-5733
(856) 334-6010
Mailing address
30 OAKMONT TER, HIGHTSTOWN, NJ 08520-2511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI03034600
NJ
Other
Enumeration date
06/04/2024
Last updated
06/27/2024
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