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Organization

DRS. PANICUCCI AND OUIMETTE, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE MATUS (OFFICE MANAGER)
(973) 729-7100
Entity
Organization

Contact information

Practice address
1 PROFESSIONAL QUAD, SPARTA, NJ 07871-2330
(973) 729-7100
(973) 729-0671
Mailing address
1 PROFESSIONAL QUAD, SPARTA, NJ 07871-2330
(973) 729-7100
(973) 729-0671

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI08978
NJ
1223G0001X
General Practice Dentistry
DI18055
NJ
1223G0001X
General Practice Dentistry
DI20516
NJ

Other

Enumeration date
05/07/2007
Last updated
08/22/2020
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