Organization
SUNSHINE DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J. MERCURIO D.D.S. (DENTIST/OWNER)
(732) 842-5005
Entity
Organization
Contact information
Practice address
9 MIDDLETOWN LINCROFT RD, LINCROFT, NJ 07738-1511
(732) 842-5005
(732) 842-8608
Mailing address
9 MIDDLETOWN LINCROFT RD, LINCROFT, NJ 07738-1511
(732) 842-5005
(732) 842-8608
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI01142300
NJ
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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