Individual
DR. MONICA BARIBAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1828 W LAKE AVE, NEPTUNE, NJ 07753-4663
(718) 300-7663
Mailing address
1828 W LAKE AVE, NEPTUNE, NJ 07753-4663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040711
PA
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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