Individual
MARCO BONGARZONE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
107 SAGAMORE AVE, OCEANPORT, NJ 07757-1624
(848) 228-1741
Mailing address
107 SAGAMORE AVE, OCEANPORT, NJ 07757-1624
(848) 228-1741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DIO2911600
NJ
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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