Individual
VICTORIA ASHLEY REVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1630 RIVERTON RD, CINNAMINSON, NJ 08077-2343
(732) 996-9758
Mailing address
1630 RIVERTON RD, CINNAMINSON, NJ 08077-2343
(329) 996-9758
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02829000
NJ
Other
Enumeration date
11/14/2019
Last updated
10/02/2021
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