Organization
DENTAL GROUP OF MILLVILLE NJ, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO LOPEZ (OWNER)
(856) 825-9000
Entity
Organization
Contact information
Practice address
1018 N HIGH ST, MILLVILLE, NJ 08332-2527
(856) 825-9000
(856) 327-0767
Mailing address
1018 N HIGH ST, MILLVILLE, NJ 08332-2527
(856) 825-9000
(856) 327-0767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI18903
NJ
1223G0001X
General Practice Dentistry
DI19011
NJ
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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