Individual
DR. DIANA BUCOLO-VAN DYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MPH
Contact information
Practice address
485 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3675
(732) 442-5390
Mailing address
PO BOX 426, ISELIN, NJ 08830-0426
(732) 442-5390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI016839
NJ
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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